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Individual

DR. BRYAN EDWARD MCGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6042
(314) 454-6142
Mailing address
660 S EUCLID AVE, C B 8111, SAINT LOUIS, MO 63110-1010
(314) 454-6042
(314) 454-6142

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2011009251
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912160805
MO
05
ENROLLED
IL
Enumeration date
07/09/2008
Last updated
01/24/2018
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