Individual
DR. ROBERT CHRISTIAN BRUSATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12990 MANCHESTER RD, SUITE 200, SAINT LOUIS, MO 63131-1860
(314) 966-5000
(314) 909-6666
Mailing address
12990 MANCHESTER RD, SUITE 200, SAINT LOUIS, MO 63131-1860
(314) 966-5000
(314) 909-6666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03150
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA1293001
PTAN
MO
Enumeration date
07/12/2005
Last updated
03/31/2015
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