DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MISS IRMA MUSTAFIC PA-C

MEDICARE: MISS IRMA MUSTAFIC PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1243677MO

General Provider Information

NPI Number : 1992657530
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS IRMA MUSTAFIC PA-C
Provider Business Mailing Address
First Line : 12303 DE PAUL DR
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12303 DE PAUL DR
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2512
Country : US
Telephone Number : 314-344-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

Similar Medicare Providers

1972455392 — HAELEY RENEE JOHNSON
Practice Location Address:
12303 DE PAUL DR
BRIDGETON, MO
63044-2512
Practice Phone: 314-344-6000
Practice Fax:
1346237112 — SSM HEALTH CARE ST. LOUIS
Practice Location Address:
12303 DEPAUL DR.
BRIDGETON, MO
63044-2512
Practice Phone: 314-209-8814
Practice Fax: 314-209-8823
1114917374 — NORTHWEST ANESTHESIA LTD
Practice Location Address:
12303 DE PAUL DR
BRIDGETON, MO
63044-2512
Practice Phone: 314-344-7049
Practice Fax: 314-344-7073
1659361715 — MR. ALAN R SCHNEIDER MD
Practice Location Address:
12303 DE PAUL DR
BRIDGETON, MO
63044-2512
Practice Phone: 314-344-7049
Practice Fax: 314-344-7073
1588654651 — MR. MARCELLUS R LAWRENCE MD
Practice Location Address:
12303 DE PAUL DR
BRIDGETON, MO
63044-2512
Practice Phone: 314-344-7049
Practice Fax: 314-344-7073
1699766709 — MS. VIJAYALAKSHMI VALLURUPALLI MD
Practice Location Address:
12303 DE PAUL DR
BRIDGETON, MO
63044-2512
Practice Phone: 314-344-7049
Practice Fax: 314-344-7073

Directions to “ MISS IRMA MUSTAFIC PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.