Individual provider · Type 1 NPI

Emily M. Massaro, P.A.

Surgical Physician Assistant · St. Louis, MO

NPI number 1770765950 Active

Practice location

1465 S Grand Blvd, Department Of Orthopedic Surgery
St. Louis, MO 63104-1003

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2007033181 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1770765950

Emily M. Massaro, P.A.'s National Provider Identifier is 1770765950, issued on Nov 29, 2007. 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 Feb 4, 2021.