Brogan, David Micah

Brogan, David Micah is an individual health care provider with primary practice located at 4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6A/6B/12A, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Brogan, David Micah can be contacted via phone (314) 747-2551.

Contact Information

Primary practice address
4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6A/6B/12A Saint Louis MO 63110-1032
Phone: (314) 747-2551
Fax: (314) 747-2598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 2015014690 Missouri

Profile Details

NPI number 1710115712
LBN Legal business name Brogan, David Micah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2009
Last updated Apr 25th, 2024 - about 8 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710115712 NPPES
Missouri MEDICAID 200023012

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