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Individual

REBECCA M BRANDSTED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1001 S KIRKWOOD RD STE 320, KIRKWOOD, MO 63122-7254
(314) 965-9184
Mailing address
PO BOX 14369, SAINT LOUIS, MO 63178-4369
(314) 729-0077
(314) 729-0101

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2004000617
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2004000617
MO LICENSE NUMBER
MO
Enumeration date
06/06/2006
Last updated
03/17/2025
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