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Individual

DR. ERIC J. W. BADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10 HOSPITAL DR, ST PETERS, MO 63376-1659
(314) 895-3828
(314) 895-3827
Mailing address
PO BOX 5, HAZELWOOD, MO 63042-0005
(314) 895-3828
(314) 895-3827

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
105825
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050030948
RAILROAD MEDICARE
05
247740400
MO
Enumeration date
10/04/2005
Last updated
03/26/2010
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