MICHAEL BARAJAS

MARYVILLE PHYSICIANS SERVICES LLC

Dr MICHAEL BARAJAS is a male medical professional, specializing in Physician Assistant. He graduated in 2016 from Saint Louis University School Of Medicine.

Contact

MARYVILLE PHYSICIANS SERVICES LLC

6810 STATE ROUTE 162 203
MARYVILLE
IL
620628566

Tel: 6182882120

MICHAEL BARAJAS Information

Npi 1114454733
Pac Id 2567730344
Professional Enrollment Id I20170620001505
Last Name BARAJAS
First Name MICHAEL
Middle Name
Suffix
Gender M
Credential
Medical School Name SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2016
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MARYVILLE PHYSICIANS SERVICES LLC
Group Practice Pac Id 5193792018
Number Of Group Practice Members 66
Line 1 Street Address 6810 STATE ROUTE 162 203
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MARYVILLE
State IL
Zip Code 620628566
Phone Number 6182882120
Hospital Affiliation Ccn 1 140289
Hospital Affiliation Lbn 1 ANDERSON HOSPITAL
Hospital Affiliation Ccn 2 140125
Hospital Affiliation Lbn 2 GATEWAY REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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