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Organization

NEIL I. BRICKEL, MD, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MOLLY I KENNEDY (MANAGER)
(314) 997-5208
Entity
Organization

Contact information

Practice address
11477 OLDE CABIN RD, SUITE 210, SAINT LOUIS, MO 63141-7130
(314) 997-5208
(314) 997-5368
Mailing address
11477 OLDE CABIN RD, SUITE 210, SAINT LOUIS, MO 63141-7130
(314) 997-5208
(314) 997-5368

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31040
MO

Other

Enumeration date
05/06/2008
Last updated
10/26/2012
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