Most Relevant Information
Provider Data
| NPI Number: | 1003423799 |
| Provider Name: | ALEXANDER SEXTRO CAA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: | 2021021992 |
Most Important Dates
| Enumeration Date: | 09/26/2020 |
| Last Updated: | 11/21/2022 |
Provider Practice Location
11133 DUNN RD
SAINT LOUIS
MO
631366163
Practice Location Phone/Fax
| Phone: | 3146535000 |
| Fax: |
Provider Mailing Location
921 SAINT LOUIS ST
FLORISSANT
MO
630314934
Provider Mailing Phone/Fax
| Phone: | 3144563895 |
| Fax: |