Individual
DR. DAVID MORTON BERWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3478 BRIDGELAND DR, BRIDGETON, MO 63044-2619
(314) 739-8200
(314) 739-8261
Mailing address
725 CHAMPEIX, CREVE COEUR, MO 63141
(314) 434-7892
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
30512
MO
208D00000X
General Practice Physician
Primary
30512
MO
Other
Enumeration date
10/10/2006
Last updated
03/01/2012
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