Individual
ANNA PETROVNA PUZYRKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8778
Mailing address
1ST NOVOKUZMINSKAYA STREET 11 APT 18, MOSCOW, MOSCOW 10937-7
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0026029
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2020
Last updated
04/15/2023
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