Individual
MR. PAUL THOMAS MROTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ DEPT, SAINT LOUIS, MO 63110-1003
(800) 862-9980
(314) 362-1185
Mailing address
PO BOX 60352, DEPT OF ANESTHESIOLOGY, ST. LOUIS, MO 63160-0352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018013136
MO
363A00000X
Physician Assistant
PA61599890
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220056095
—
MO
Enumeration date
04/23/2018
Last updated
01/09/2025
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