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Individual

BRIAN LOUIS MCNABB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
660 S EUCLID AVE # 8121, SAINT LOUIS, MO 63110-1010
(314) 362-8064
Mailing address
4444 W PINE BLVD APT 206, SAINT LOUIS, MO 63108-2348
(714) 496-7013

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007017219
MO

Other

Enumeration date
06/26/2007
Last updated
07/08/2007
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