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Organization

BRENT R PALMER LC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT PALMER (M.D./PRESIDENT)
(314) 966-7570
Entity
Organization

Contact information

Practice address
2315 DOUGHERTY FERRY RD, SUITE 107, SAINT LOUIS, MO 63122-3383
(314) 966-7570
(314) 966-7788
Mailing address
2315 DOUGHERTY FERRY RD, SUITE 107, SAINT LOUIS, MO 63122-3383

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/05/2008
Last updated
09/19/2012
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