Dr. Joseph Prusaczyk
MD | Pediatric Adolescent Medicine | Male
Dr. Joseph Prusaczyk, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Joseph Prusaczyk is
13035 Olive Blvd, Saint Louis, Missouri - 63141-6173. He can be contacted on phone at
314-434-3114 and fax number 314-434-3117.
Dr. Joseph Prusaczyk is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Joseph Prusaczyk is
1730295759 which was assigned by NPPES on 22 Aug, 2006 and it was last updated on 08 Jul, 2007.
Dr. Joseph Prusaczyk license number is
31728 for Pediatrics Adolescent Medicine (2080A0000X) in Missouri.
Dr. Joseph Prusaczyk specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Joseph Prusaczyk basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Joseph Prusaczyk |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Joseph Prusaczyk address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 13035 Olive Blvd
Saint Louis, MO, 63141-6173
United States |
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| Phone Number : | 314-434-3114 |
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| Fax Number : | 314-434-3117 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730295759 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Joseph Prusaczyk are as mentioned. Primary taxonomy code for Dr. Joseph Prusaczyk, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 31728 | MO |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1623 Timberlake Manor Pkwy
Chesterfield, MO, 63017-5593
United States |
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| Phone Number : | 314-434-3114 |
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| Fax Number : | 314-434-3117 |
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Business Location:
Patients can refer following map for directions to
Dr. Joseph Prusaczyk practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.