Individual
DR. BRENDAN RYAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD FL Y-G230, SAINT LOUIS, MO 63141-8221
(314) 251-5550
Mailing address
615 S NEW BALLAS RD FL Y-G230, SAINT LOUIS, MO 63141-8221
(314) 251-5550
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016015178
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2013
Last updated
05/29/2019
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