Individual
DR. DOUGLAS PHILLIP BRUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7306 WISE AVE, SAINT LOUIS, MO 63117-1719
(314) 644-1333
(314) 644-3939
Mailing address
7306 WISE AVE, SAINT LOUIS, MO 63117-1719
(314) 644-1333
(314) 644-3939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006142
MO
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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