Individual
BARRY D. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10012 KENNERLY RD, SUITE 104, SAINT LOUIS, MO 63128-2197
(314) 543-5911
(314) 543-5914
Mailing address
10012 KENNERLY RD, SUITE 104, SAINT LOUIS, MO 63128-2197
(314) 543-5911
(314) 543-5914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8411
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201157013
—
MO
Enumeration date
08/31/2006
Last updated
06/14/2011
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