Daniel Zackary Souvannarath
Physician Assistant • Bridgeton, MO
Professional Overview & Biography Verified Profile Summary
Daniel Souvannarath is a registered healthcare professional specializing in Physician Assistant in Bridgeton, MO. Practice services are available at 12266 DE PAUL DR STE 310 under active NPI credentials.
Practice Location & Contact Primary Location
12266 De Paul Dr Ste 310
Bridgeton, MO 630442562
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Bridgeton, MO
Practicing in Bridgeton, MO (1802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2021-09-13NUCC Taxonomy Code: 363A00000X
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363A00000X
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Practice Locations
3437 Caroline St Ste 3082
Saint Louis, MO 631041111
Phone: 3149778648
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 12266 DE PAUL DR STE 310, BRIDGETON, MO 630442562 (Tel: 3142095171)
Registered at PO BOX 955534, SAINT LOUIS, MO 631955534
Physician Assistant (License #2021010216 in MO)
NPI status registered as active in NPPES database
Registered at 3437 CAROLINE ST STE 3082, SAINT LOUIS, MO 631041111 (Tel: 3149778648)
Registered at 1810 VALLEY RIDGE DR, IMPERIAL, MO 630522266 (Tel: 3147759602)
Recorded as DANIEL SOUVANNARATH
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 955534
Saint Louis, MO 631955534
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