Individual
MR. BRADLEY THOMAS GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63110-1003
(800) 862-9980
(314) 362-1185
Mailing address
660 S EUCLID AVE, CB 8054, SAINT LOUIS, MO 63110-1010
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2016001994
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910030453
—
MO
Enumeration date
12/02/2015
Last updated
11/15/2021
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