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Individual

DR. DICK (RICHARD) RALPH BRUMMETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
711 S LACLEDE STA RD, # 2111, ST LOUIS, MO 63119
(314) 961-6434
Mailing address
711 S LACLEDE STA RD, # 2111, ST LOUIS, MO 63119
(314) 961-6434

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-13250
KS

Other

Enumeration date
04/09/2012
Last updated
05/15/2013
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