Individual
JAY ALLAN BRENNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ST. JOHN'S MERCY MEDICAL CENTER, 615 SOUTH NEW BALLAS, ST. LOUIS, MO 63141
(314) 251-6450
Mailing address
PEDIATRIX MEDICAL GROUP, 621 SOUTH NEW BALLAS RD SUITE 2016 B, ST. LOUIS, MO 63141
(314) 251-5860
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
R8E41
MO
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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