Individual
BRADLEY ALAN BYERGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1384 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 946-9242
(636) 946-4903
Mailing address
1384 S 5TH ST, SAINT CHARLES, MO 63301-2444
(636) 946-9242
(636) 946-4903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002015240
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315859009
—
MO
Enumeration date
03/13/2007
Last updated
06/29/2022
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