Individual
MR. RUSSELL A SZTUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
Mailing address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022034174
MO
Other
Enumeration date
10/01/2019
Last updated
07/23/2024
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