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Individual

BRYAN BENGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
624 SESSIONS AVE, SAINT LOUIS, MO 63126-1030
(314) 974-0416
Mailing address
624 SESSIONS AVE, SAINT LOUIS, MO 63126-1030
(314) 974-0416

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2009005829
MO

Other

Enumeration date
07/20/2019
Last updated
07/20/2019
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