Individual
BRUCE E BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 BELLEVUE AVE, SUITE 500, SAINT LOUIS, MO 63117-1854
(314) 925-4770
Mailing address
10777 SUNSET OFFICE DR, SUITE 310, SAINT LOUIS, MO 63127-1019
(314) 822-5900
(314) 822-5919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2000164357
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129054
BLUE CHOICE
MO
01
—
1700357
UNITED HEALTHCARE
MO
05
—
205157316
—
MO
01
—
437904
HEALTHLINK
MO
Enumeration date
06/01/2006
Last updated
12/15/2011
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