AMORETTE RUSSELL, P.A.
Physician Assistant - Surgical
Active
Individual
NPI: 1225000102
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | 2003025349 (MO) |
Frequently Asked Questions
NPI 1225000102 is the National Provider Identifier for AMORETTE RUSSELL, P.A., a Physician Assistant - Surgical provider located in Saint Louis, MO. This NPI was enumerated on February 3, 2006.
AMORETTE RUSSELL, P.A. practices at 625 S NEW BALLAS RD, SUITE R-7040, Saint Louis, MO 63141.
Quick Facts
- NPI
- 1225000102
- Type
- Individual
- Enumerated
- Feb 3, 2006
- Last Updated
- Jul 8, 2007
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