Individual
DR. JOSEPH DAVID BRUNWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 S. GRAND, DOOR 3, ST. LOUIS, MO 63104-6310
(314) 977-5110
(314) 977-7686
Mailing address
1008 S SPRING AVE # 3300, SAINT LOUIS, MO 63110-2520
(314) 977-8884
(314) 977-1820
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2014035370
MO
Other
Enumeration date
10/10/2008
Last updated
03/09/2021
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