Provider Demographics
NPI:1144937194
Name:MCELYEA, AMY LEE (ST)
Entity type:Individual
Prefix:MISS
First Name:AMY
Middle Name:LEE
Last Name:MCELYEA
Suffix:
Gender:F
Credentials:ST
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Mailing Address - Street 1:14825 N OUTER 40 RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-2152
Mailing Address - Country:US
Mailing Address - Phone:314-336-2555
Mailing Address - Fax:314-336-2655
Practice Address - Street 1:14825 N OUTER 40 RD STE 200
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-2152
Practice Address - Country:US
Practice Address - Phone:314-336-2555
Practice Address - Fax:314-336-2655
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist