NPI 1366657751

Penney Muskopf, SAC

Practitioner Surgical Technologist Chesterfield, MO

Practice location

Address: 14825 N Outer 40 Suite 200, Chesterfield, MO 63017-2152
Phone: (314) 336-2555
Mailing address: 104 Liederkranz Ln, Millstadt, IL 62260-2266

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 06-175 (MO)

Other Specialist/Technologist, Other providers in Missouri →

Registry record

NPI: 1366657751
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2007
Record last updated: 8 Jul 2007

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.