Individual
REBECCA HRUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
615 S BALLAS RD, SAINT LOUIS, MO 63122-5314
(618) 616-1658
Mailing address
1503 BUCKHURST CT, BALLWIN, MO 63021-8395
(618) 616-1658
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
165787
TN
Other
Enumeration date
09/26/2017
Last updated
10/10/2021
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