Organization
MEDICAL WEST PODIATRY LTD MEDICAL WEST BLDG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD G BRANDEL D.P.M. (PODIATRIST)
(314) 726-2377
Entity
Organization
Contact information
Practice address
950 FRANCIS PL, SUITE 2, CLAYTON, MO 63105-2465
(314) 726-2377
(314) 726-2397
Mailing address
950 FRANCIS PL, SUITE 2, CLAYTON, MO 63105-2465
(314) 726-2377
(314) 726-2397
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790891075
DMERC
MO
Enumeration date
08/21/2006
Last updated
12/06/2010
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