Individual
DR. BRADLEY A EVANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 FOREST PARK AVE, STE 241, SAINT LOUIS, MO 63108-1495
(314) 362-5060
(314) 362-6959
Mailing address
660 S EUCLID AVE, CB 8005, SAINT LOUIS, MO 63110-1010
(314) 362-5060
(314) 454-5554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R1J59
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206866907
—
MO
Enumeration date
07/14/2006
Last updated
11/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us