Raquel K Russo, PA-C

NPI #1013545607 in Chesterfield, Missouri

Provider Information

NPI Number: 1013545607
Entity Type: Individual
Name: Raquel K Russo, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 30, 2020
Last Updated: Nov 17, 2025

Practice Location

Address: 13353 OLIVE BLVD
City: Chesterfield
State: Missouri
ZIP Code: 63017-3108
Phone: (636) 778-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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