Individual
DR. JONATHAN ROBERT BRESTOFF PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
660 S EUCLID AVE, BOX 8118, SAINT LOUIS, MO 63110-1010
(314) 362-5943
Mailing address
660 S EUCLID AVE, BOX 8118, SAINT LOUIS, MO 63110-1010
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
2016016967
MO
207ZC0006X
Clinical Pathology Physician
Primary
2019029654
MO
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
2016016967
MO
Other
Enumeration date
07/21/2016
Last updated
09/01/2021
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