Individual provider · Type 1 NPI

Amy Jo Gable, PA

Surgical Physician Assistant · St. Louis, MO

NPI number 1912175969 Active

Practice location

555 N New Ballas Rd, Div Surg Vascular, Ste 265
St. Louis, MO 63141-6825

Call (314) 991-4644 Map

Fax (866) 342-0133

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2010017122 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1912175969

Amy Jo Gable, PA's National Provider Identifier is 1912175969, issued on Feb 12, 2008. 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 Apr 17, 2025.