Individual provider · Type 1 NPI

Ilya Bunimovich, PA

Physician Assistant · St. Louis, MO

NPI number 1730852377 Active

Practice location

1201 S Grand Blvd
St. Louis, MO 63104-1016

Mailing address

West Pavilion, Room G120, 3655 Vista Avenue
St. Louis, MO 63110-2602

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X2021013043 (MO)
Physician Assistant Primary 363A00000X2021013043 (MO)

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…

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About NPI 1730852377

Ilya Bunimovich, PA's National Provider Identifier is 1730852377, issued on Jul 29, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 28, 2021.