| Doctor Name: | ELIZABETH DARCANGELIS |
| NPI Number: | 1093770141 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA C |
| License Number: | 117364 |
| Business Practice Address: | 3635 Vista At Grand Blvd St Louis, MO - 631100250 |
| Business Phone Number: | 3145778776 |
| Business Fax Number: | 3142685697 |
| Mailing Address: | 3691 Rutger St, Provider Enrollment SAINT LOUIS |
| State: | MO |
| Postal Code: | 631102515 |
| Phone Number: | 3149774440 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2006 |
| NPI Last Update Date: | 02/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 117364 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |