Individual provider · Type 1 NPI

Joseph Prusaczyk, MD

Pediatric Adolescent Medicine Physician · St. Louis, MO

NPI number 1730295759 Active

Practice location

13035 Olive Blvd
St. Louis, MO 63141-6173

Fax (314) 434-3117

Mailing address

1623 Timberlake Manor Pkwy
Chesterfield, MO 63017-5593

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X31728 (MO)

Pediatric Adolescent Medicine Physician: A pediatrician who 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.

7 other providers at this address

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About NPI 1730295759

Joseph Prusaczyk, MD's National Provider Identifier is 1730295759, issued on Aug 22, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.