Individual
DR. BRADLEY L SCHLAGGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL STE 6C, STE 6C, SAINT LOUIS, MO 63110-1032
(314) 362-6908
(314) 747-3258
Mailing address
660 S EUCLID AVE, C B 8111, SAINT LOUIS, MO 63110-1010
(314) 362-6908
(314) 747-3258
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
110714
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204632202
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/17/2006
Last updated
01/29/2018
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