AMORETTE D RUSSELL P.A. NPI 1225000102

NPI Information

NPI: 1225000102
Provider Name: AMORETTE D RUSSELL, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
625 S NEW BALLAS RD
SUITE R-7040
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6970
Get Directions

Amorette D Russell, P.A. is a surgical physician assistant in Saint Louis, MO. Amorette D Russell, P.A. NPI is 1225000102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

625 S NEW BALLAS RD
SUITE R-7040
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-6970
Fax: (314) 251-1053

The enumeration date for this NPI number is 2/3/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	2003025349	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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