Organization
R&R 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT BRADLEY MD (OWNER)
(314) 718-7276
Entity
Organization
Contact information
Practice address
9272 CADDYSHACK CIR, SAINT LOUIS, MO 63127-1932
(314) 718-7276
Mailing address
9272 CADDYSHACK CIR, SAINT LOUIS, MO 63127-1932
(314) 718-7276
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
2010008612
MO
Other
Enumeration date
06/02/2014
Last updated
09/07/2023
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