Individual provider · Type 1 NPI

Traci N. ST Clair, P.A.-C.

Surgical Physician Assistant · Springfield, MO

NPI number 1053373696 Active

Practice location

1229 E Seminole St
Springfield, MO 65804-2227

Call (417) 820-5610 Map

Fax (417) 820-5588

Mailing address

PO Box 2580
Springfield, MO 65801-2580

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2003002310 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1053373696

Traci N. ST Clair, P.A.-C.'s National Provider Identifier is 1053373696, issued on Apr 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Springfield, MO. The record was last updated on Jul 22, 2008.