NPI 1003860875

Louise M Hildebolt, PAC

Practitioner Physician Assistant Saint Louis, MO

Practice location

Address: 12639 Old Tesson Rd Suite 115, Saint Louis, MO 63128-2786
Phone: (314) 849-0311
Fax: (314) 849-4423

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 105798 (MO)

Other Physician Assistant providers in Missouri →

Registry record

NPI: 1003860875
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.