Individual
DR. BRENT V STROMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11709 OLD BALLAS RD, SUITE 201, CREVE COEUR, MO 63141-7029
(314) 997-8828
(314) 432-5105
Mailing address
PO BOX 419074, CREVE COEUR, MO 63141-9074
(314) 997-8828
(314) 432-5105
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
R4B42
MO
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
R4B42
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203062401
—
MO
Enumeration date
07/31/2006
Last updated
01/22/2009
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