IndividualActive
Andrew Zack, AA
NPI 1427793355 · Anesthesiologist Assistant · Saint Louis, MO
Provider details
- NPI number
- 1427793355
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AA
- Sex
- Male
- Sole proprietor
- No
- License
- PENDING (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (636) 386-9224
Fax: (636) 386-7679
Approximate (ZIP-level) locationGet directions
Mailing address
339 Consort Dr
Ballwin, MO 63011-4439
Registry dates
- Enumerated
- 2022-05-04
- Last updated
- 2022-05-04
- Certified
- 2022-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.