Individual
MR. BRUCE SCHLAFLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10004 KENNERLY RD, SUITE 259-B, SAINT LOUIS, MO 63128-2141
(314) 842-2200
(314) 842-4385
Mailing address
10004 KENNERLY RD, SUITE 259-B, SAINT LOUIS, MO 63128-2141
(314) 842-2200
(314) 842-4385
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MDR3F82
MO
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MDR3F82
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102020
HEALTHLINK
MO
05
—
208595009
—
MO
01
—
26373
BC/BS
MO
Enumeration date
08/15/2005
Last updated
05/04/2010
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