Individual provider · Type 1 NPI

Madeleine A. Thompson, PA-C, RD, LD

Surgical Physician Assistant · St. Louis, MO

NPI number 1417445941 Active

Practice location

621 S New Ballas Rd Ste 7008B
St. Louis, MO 63141-8275

Call (314) 251-8750 Map

Other practice locations

  • 15945 Clayton Rd Ste 120, Ballwin, MO 63011-2490 · (314) 251-8750

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2108009745 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1417445941

Madeleine A. Thompson, PA-C, RD, LD's National Provider Identifier is 1417445941, issued on Apr 30, 2018. 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 20, 2022.