Individual
DR. BRADLEY LAYTON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, SAINT LOUIS, MO 63110-1016
(314) 362-7200
(314) 747-4189
Mailing address
660 S EUCLID AVE, CB 8131, SAINT LOUIS, MO 63110-1010
(314) 362-7200
(314) 747-4189
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2018012090
MO
2085R0202X
Diagnostic Radiology Physician
21412
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062955
—
MO
Enumeration date
03/31/2016
Last updated
05/06/2024
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