Search › Missouri › 133V00000X
Samuel Russo, RDN
NPI 1912886375 · on the registry since 2025
Practice
- Address
- 13100 Manchester Rd Ste 175
Des Peres, MO 63131 - Phone
- (314) 275-0658
- Organisation at this address
- Alo Nutrition Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-29
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