IndividualActive
Aaron Russell, MD
NPI 1568813863 · Dermatology Physician · Saint Louis, MO
Provider details
- NPI number
- 1568813863
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2021011092 (MO)
Practice location
969 N Mason Rd
Div Im Dermatology, Ste 220
Saint Louis, MO 63141-6282
Phone: (314) 273-3376
Fax: (888) 682-0525
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2016-06-28
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.