Organization
MICROSURGERY AND BRAIN RESEARCH INSTITUTE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY M COCHRAN (PATIENT ACCOUNTS)
(314) 543-5999
Entity
Organization
Contact information
Practice address
10012 KENNERLY RD STE 400, SAINT LOUIS, MO 63128-2197
(314) 543-5999
(314) 543-5994
Mailing address
10012 KENNERLY RD STE 400, SAINT LOUIS, MO 63128-2197
(314) 543-5999
(314) 543-5994
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ2147
RAILROAD MEDICARE
IL
01
—
CQ2147
RAILROAD MEDICARE
MO
Enumeration date
07/16/2006
Last updated
02/05/2008
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