Broderick, Stephen Robert

Broderick, Stephen Robert is an individual health care provider with primary practice located at 222 S Woods Mill Rd 550N, Chesterfield MO 63017-3625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Broderick, Stephen Robert can be contacted via phone (314) 434-3049.

Contact Information

Primary practice address
222 S Woods Mill Rd 550N Chesterfield MO 63017-3625
Phone: (314) 434-3049
Fax: (314) 205-6916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2012013459 Missouri
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2012013459 Missouri

Profile Details

NPI number 1699934828
LBN Legal business name Broderick, Stephen Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Dec 17th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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