Rebecca M Brandsted MD

NPI 1699714121 - Otolaryngology - 207Y00000X

NPI Details
NPI 1699714121
Gender Female
Enumeration Date 06/06/2006
Last Updated 05/19/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
STE 405
FENTON MO, 63026-2395, US
Phone (314) 965-9184
Fax (314) 984-8019
Business Location
PO BOX 790379
SAINT LOUIS MO, 63179-0379, US
Phone (314) 729-0077
Fax (314) 729-0101
Taxonomy Code 207Y00000X
License State Missouri
License Number 2004000617
Remove 1699714121 NPI Number

According to our database, Rebecca M Brandsted MD NPI is 1699714121, taxonomy code is 207Y00000X and license number is 2004000617, license state is located at Missouri. Rebecca M Brandsted MD physically located at 1011 Bowles Ave, Fenton MO, 63026-2395. NPI Number Rebecca M Brandsted MD has the Individual type.

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1699714121 NPI number is provided on an as is basis without warranty of any kind. 1699714121 is maintained by the National Plan & Provider Enumeration System. The contents of Rebecca M Brandsted MD are for informational purposes only.