Individual provider · Type 1 NPI

Thomas Prange, PA-C

Surgical Physician Assistant · St. Louis, MO

NPI number 1356701676 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Call (314) 257-8000 Map

Mailing address

100 Mercy Way Ste 310
Joplin, MO 64804-4524

Other practice locations

  • 100 Mercy Way Ste 310, Joplin, MO 64804-4524 · (417) 556-8600

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2016005474 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1356701676

Thomas Prange, PA-C's National Provider Identifier is 1356701676, issued on Feb 29, 2016. 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 Sep 23, 2025.