Organization
SEYER ORAL PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY A. SEYER DDS (OWNER)
(314) 830-4897
Entity
Organization
Contact information
Practice address
3439 BRIDGELAND DR, BRIDGETON, MO 63044-2604
(314) 291-2777
Mailing address
3774 AFSHARI'S CIR, FLORISSANT, MO 63034-1535
(314) 830-4897
(314) 830-4877
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2002000301
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770562068
INDIVIDUAL NPI
—
Enumeration date
08/27/2009
Last updated
08/27/2009
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