Individual
JASON PHILIP BRINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 N NEW BALLAS RD, STE 310, SAINT LOUIS, MO 63141-6825
(314) 375-2020
Mailing address
555 N NEW BALLAS RD, STE 310, SAINT LOUIS, MO 63141-6825
(314) 375-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2016012564
MO
207W00000X
Ophthalmology Physician
37905
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-35082
KANSAS MEDICAL LICENSE
KS
01
—
37905
IOWA MEDICAL LICENSE
IA
Enumeration date
07/03/2008
Last updated
03/27/2017
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