Individual
SIRISHA VADDI BROSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 LEMAY FERRY RD, STE 104, SAINT LOUIS, MO 63125-3900
(314) 525-1887
(314) 525-1868
Mailing address
2900 LEMAY FERRY RD, STE 104, SAINT LOUIS, MO 63125-3900
(314) 525-1887
(314) 525-1868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2010026025
MO
Other
Enumeration date
06/13/2008
Last updated
03/14/2017
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