Individual
BRENDA MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10814 SAINT CHARLES ROCK RD, SAINT ANN, MO 63074-1508
(314) 401-2402
Mailing address
10814 SAINT CHARLES ROCK RD, SAINT ANN, MO 63074-1508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6C41
MO
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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