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Individual

MAX H BURGDORF

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12303 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 344-6000
Mailing address
1836 LACKLAND HILL PKWY, ATTENTION: CREDENTIALING DEPARTMENT, SAINT LOUIS, MO 63146-3572
(314) 989-0300

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R7087
MO
208000000X
Pediatrics Physician
R7087
MO

Other

Enumeration date
05/23/2006
Last updated
09/11/2025
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