Organization
RAYMOND A. BRICKHOUSE, DPM LLC
Active
Parent organization
RAYMOND A. BRICKHOUSE, DPM LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAYMOND A. BRICKHOUSE, DPM LLC
Authorized official
DR. RAYMOND A BRICKHOUSE JR. DPM (OWNER)
(314) 381-1800
Entity
Organization
Contact information
Practice address
3535 S JEFFERSON AVE STE 2, SAINT LOUIS, MO 63118-3930
(314) 381-1802
(866) 927-4145
Mailing address
6400 CLAYTON RD STE 412, SAINT LOUIS, MO 63117-1850
(314) 381-1800
(866) 927-4145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2008026233
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437314812
—
MO
Enumeration date
07/29/2016
Last updated
07/29/2016
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