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1730295759
JOSEPH PRUSACZYK
SAINT LOUIS, MO
NPI
1730295759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: MO 31728)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
Dr. JOSEPH PRUSACZYK MD
13035 OLIVE BLVD
SAINT LOUIS, MO 63141-6173
Phone number: 314-434-3114
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Mailing Address
Dr. JOSEPH PRUSACZYK MD
1623 TIMBERLAKE MANOR PKWY
CHESTERFIELD, MO 63017-5593
Phone number: 314-434-3114
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