Individual provider · Type 1 NPI

Marion Elsa Gabou Dessalines, PA-C

Physician Assistant · Edwardsville, IL

NPI number 1548082647 Active

Practice location

2122 Troy Rd Ste 130
Edwardsville, IL 62025-2540

Call (618) 800-4595 Map

Fax (618) 800-4501

Mailing address

PO Box 959203
St. Louis, MO 63195-9203

Other practice locations

  • 2861 Madison Ave, Granite City, IL 62040-3614 · (618) 709-7723
  • 2801 W Main St, Belleville, IL 62226-6646 · (618) 416-2018

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X085010947 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

13 other providers at this address

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About NPI 1548082647

Marion Elsa Gabou Dessalines, PA-C's National Provider Identifier is 1548082647, issued on Oct 29, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Edwardsville, IL. The record was last updated on Jan 30, 2026.