Individual
DR. JOHN EDWARD MAZUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG ACCS, SAINT LOUIS, MO 63110-1003
(314) 362-5298
(314) 362-5743
Mailing address
660 S EUCLID AVE, MSC 8109-43-1160, SAINT LOUIS, MO 63110-1010
(314) 747-2829
(314) 362-5743
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R6P11
MO
2086S0102X
Surgical Critical Care Physician
R6P11
MO
2086S0127X
Trauma Surgery Physician
R6P11
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203046610
—
MO
Enumeration date
07/17/2006
Last updated
11/15/2021
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