Daniel Zackary Souvannarath
Daniel Zackary Souvannarath is a Physician Assistant in Bridgeton, Missouri. Works from 2 locations. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
12266 De Paul Dr Ste 310Bridgeton, MO 63044-2562
Phone: (314) 209-5171
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3437 Caroline St Ste 3082, Saint Louis, MO 63104-1111 — (314) 977-8648
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2021010216 (MO) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1174144828 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 5, 2020 |
| Last updated in NPPES | September 13, 2021 |
| Certification date | September 13, 2021 |
Other providers in Bridgeton
-
Miss. Irma Mustafic, PA-C
12303 De Paul Dr, Bridgeton, MO 63044-2512 · (314) 344-6000
-
Mrs. Lynn M Robbins, PA-C
12349 De Paul Dr Ste 100, Bridgeton, MO 63044-2512 · (314) 291-7900
-
Heather Ann Schmitz, PA-C
12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 · (314) 218-2300
-
Sarah Beth Simmon, PA
12255 De Paul Dr Ste 770, Bridgeton, MO 63044-2515 · (314) 474-7366
-
Courtney M Sumners, PA
12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 · (314) 218-2300
-
Mr. Blessing Kudakwashe Tupiri, PA
12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 · (314) 647-8269
-
Clayton R Vogt
12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514 · (314) 770-0991
-
Andrew J Wahle, PA
12303 Depaul Dr Depaul Health Ctr, Bridgeton, MO 63044 · (314) 344-6000