DANIEL SOUVANNARATH

Physician Assistant · BRIDGETON, MO

Individual Active NPI 1174144828

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Physician Assistant363A00000X2021010216MO
Physician Assistant363A00000X

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Physician Assistant providers in Missouri

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.