Individual
RICHARD GLENN BRANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
950 FRANCIS PL, SUITE 2, SAINT LOUIS, MO 63105-2465
(314) 726-2377
(314) 726-2397
Mailing address
950 FRANCIS PL, SUITE 2, SAINT LOUIS, MO 63105-2465
(314) 726-2377
(314) 726-2397
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000482
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301731907
—
MO
Enumeration date
08/15/2005
Last updated
07/08/2007
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