Individual
BRADLEY TROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(636) 386-7222
Mailing address
PO BOX 22407, SAINT LOUIS, MO 63126-0407
(636) 386-7222
(636) 200-4036
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2019026266
MO
367H00000X
Anesthesiologist Assistant
Primary
2019026266
MO
Other
Enumeration date
05/30/2019
Last updated
08/05/2019
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