Individual
PHILLIP L BRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3009 N BALLAS RD STE 100B, SAINT LOUIS, MO 63131-2322
(314) 432-1111
(314) 432-2639
Mailing address
3009 N BALLAS RD STE 100B, SAINT LOUIS, MO 63131-2322
(314) 432-1111
(314) 432-3629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R9N62
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31227
BNDD
MO
01
—
R9N62
MEDICAL LICENSE
MO
Enumeration date
08/16/2006
Last updated
07/02/2024
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