Individual provider · Type 1 NPI
Antanisha L. Parks
Surgical Physician Assistant · St. Louis, MO
NPI number
1083556427
Active
Practice location
915 N Grand Blvd
St. Louis, MO 63106-1621
Mailing address
3502 Green Bay Rd Apt 207
North Chicago, IL 60064-3616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
681 other providers at this address
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Other surgical physician assistant providers in St. Louis
- Allison Marie Creswell, PA-CSurgical Physician Assistant St. Louis, MO NPI 1033417639
- Nathan David Collins, PASurgical Physician Assistant St. Louis, MO NPI 1033523436
- Jessica Blechle, PA-CSurgical Physician Assistant St. Louis, MO NPI 1043175615
- Allison Grace Tuttle, PA-CSurgical Physician Assistant St. Louis, MO NPI 1053359281
- Darcie L. Wallace, PA-CSurgical Physician Assistant St. Louis, MO NPI 1083648489
- John Edwin Shuman, PASurgical Physician Assistant St. Louis, MO NPI 1104808625
- Shanna Marie Zwick, PASurgical Physician Assistant St. Louis, MO NPI 1124361605
- Dennis Glenn Hafford, PASurgical Physician Assistant St. Louis, MO NPI 1134357338
About NPI 1083556427
Antanisha L. Parks's National Provider Identifier is 1083556427, issued on Apr 6, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Louis, MO. The record was last updated on Apr 6, 2026.