Individual
MR. BRADLEY D REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MEDICAL PLAZA, LAKE SAINT LOUIS, MO 63367
(314) 989-3000
Mailing address
13523 BARRETT PARKWAY DR, STE 210, BALLWIN, MO 63021-3802
(314) 775-2816
(314) 775-2821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2000148339
MO
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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