| Samuel David Russo, RDN | |
|
13100 Manchester Rd Ste 175, Des Peres, MO 63131-1729 | |
| (314) 275-0658 | |
| Not Available |
| Full Name | Samuel David Russo |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 13100 Manchester Rd Ste 175, Des Peres, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912886375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86436000 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel David Russo, RDN 13100 Manchester Rd Ste 175, Des Peres, MO 63131-1729 Ph: (314) 275-0658 | Samuel David Russo, RDN 13100 Manchester Rd Ste 175, Des Peres, MO 63131-1729 Ph: (314) 275-0658 |
Lori Adams, RDN, CSSD, CEDRD-S Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13100 Manchester Rd Ste 175, Des Peres, MO 63131 Phone: 314-308-9115 |
Alyssa Moukheiber, RD Dietitian Medicare: Medicare Enrolled Practice Location: 13100 Manchester Rd Ste 17513100, Des Peres, MO 63131 Phone: 314-275-0658 |
Alison Beckman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13100 Manchester Rd Ste 175, Des Peres, MO 63131 Phone: 314-275-0658 |
Mrs. Cristen L Luehmann, MS, RLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12015 Manchester Rd Ste 182, Des Peres, MO 63131 Phone: 314-616-0800 |