Search › Missouri › Pediatric Adolescent Medicine Physician

Joseph Prusaczyk, MD

NPI 1730295759 · on the registry since 2006

Practice

Address: 13035 Olive Blvd
Saint Louis, MO 63141
Phone: (314) 434-3114
Fax: (314) 434-3117
Organisation at this address: Medical Supply Dme Llc
Walk By Faith Home Care
Medical Supplies Only Llc
Medical Acute Care Center Pc
The Whiteville Drugstore, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Pediatric Adolescent Medicine Physician
2080A0000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri