Individual
DR. BRADY L LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3203 E OLD STONE AVE, BROOKLINE, MO 65619-9620
(417) 269-1910
(417) 269-1916
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021047213
MO
Other
Enumeration date
03/05/2007
Last updated
04/05/2024
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