Individual
BRADLEY CARL WITBRODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3023 N BALLAS RD STE 200, SAINT LOUIS, MO 63131-2330
(314) 996-7272
(314) 996-6785
Mailing address
3023 N BALLAS RD STE 200, SAINT LOUIS, MO 63131-2330
(314) 996-7272
(314) 996-6785
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2019014723
MO
Other
Enumeration date
04/10/2012
Last updated
03/31/2021
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