Individual provider · Type 1 NPI

Louise M. Hildebolt, PA-C

Physician Assistant · St. Louis, MO

NPI number 1003860875 Active

Practice location

12639 Old Tesson Rd, Suite 115
St. Louis, MO 63128-2786

Call (314) 849-0311 Map

Fax (314) 849-4423

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X105798 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003860875

Louise M. Hildebolt, PA-C's National Provider Identifier is 1003860875, issued on May 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.