Individual
ALEXANDER SEXTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(314) 653-5000
Mailing address
921 SAINT LOUIS ST, FLORISSANT, MO 63031-4934
(314) 456-3895
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2021021992
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2020
Last updated
11/21/2022
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