| Mitra S Shultz, PA-C | |
|
2044 Madison Ave Ste 6, Granite City, IL 62040-4659 | |
| (618) 798-3475 | |
| (618) 798-3868 |
| Full Name | Mitra S Shultz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2044 Madison Ave Ste 6, Granite City, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831600667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085006383 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mitra S Shultz, PA-C 2044 Madison Ave Ste 6, Granite City, IL 62040-4659 Ph: () - | Mitra S Shultz, PA-C 2044 Madison Ave Ste 6, Granite City, IL 62040-4659 Ph: (618) 798-3475 |
Taylor Marie Bogue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301 | |
Hannah Ziegler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3260 | |
Mr. Edward Carl Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301 Fax: 618-452-3312 | |
Zachary Trussler, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-288-4388 | |
Robert Montgomery, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2861 Madison Ave, Granite City, IL 62040 Phone: 618-709-7723 | |
Mr. Oscar Adrian Perez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-452-3301 Fax: 618-452-3312 |