Individual
DR. BARRY N ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3009 N BALLAS RD, SUITE 351C, SAINT LOUIS, MO 63131-2322
(314) 996-4790
(314) 996-4792
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 996-4790
(314) 996-4792
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R1E76
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507396109
—
MO
Enumeration date
06/27/2006
Last updated
05/16/2012
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