Individual
DR. ALICIA H BUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(314) 344-6360
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2007013969
MO
207Q00000X
Family Medicine Physician
2007013969
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386679751
—
MO
05
—
200835601
—
MO
Enumeration date
07/12/2006
Last updated
04/21/2026
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