Individual provider · Type 1 NPI
Samantha Jean Pisarski, PA-C
Surgical Physician Assistant · Maryville, IL
NPI number
1457975153
Active
Practice location
6810 State Route 162 Ste 10
Maryville, IL 62062-8587
Mailing address
7 Hadley Ct
Edwardsville, IL 62025-2479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Maryville
About NPI 1457975153
Samantha Jean Pisarski, PA-C's National Provider Identifier is 1457975153, issued on May 29, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Maryville, IL. The record was last updated on Aug 31, 2021.