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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL DAVID RUSSO, RDN

Active

SAMUEL DAVID RUSSO, RDN is a Registered Dietitian healthcare provider located in DES PERES, Missouri. NPI 1912886375 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · DES PERES, MO

Registration Details

NPI Number
1912886375
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2025 (0.92047782632385 yrs)
Last Updated
Aug 29, 2025
License
86436000 (MO)

Practice Information

Address
13100 MANCHESTER RD STE 175
DES PERES, MO, 631311729
Browse MO providers · Browse ZIP 63131
Phone
3142750658
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in DES PERES, MO

Name Credential NPI
MRS. CRISTEN L LUEHMANN MS, RLD 1912322124
LORI ADAMS RDN, CSSD, CEDRD-S 1427583590
ALYSSA MOUKHEIBER RD 1649872151
TERESA KURTH RD, LDN 1982295689
ALISON BECKMAN 1710648613
HOLLEY DROCHELMAN MS, RDN, LD, CEDS 1649953316
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.