Individual
DR. DAVID EDWARD BEREDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 530, RICHMOND HEIGHTS, MO 63117-1271
(314) 834-6707
Mailing address
1512 N GREEN MOUNT RD, O FALLON, IL 62269-2083
(618) 624-5510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036149289
IL
207Q00000X
Family Medicine Physician
Primary
2022045941
MO
207Q00000X
Family Medicine Physician
828
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022045941
FAMILY MEDICINE
MO
Enumeration date
02/20/2009
Last updated
02/02/2023
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