Brondz, Igor

Brondz, Igor is an individual health care provider with primary practice located at 400 1St Capitol Dr Ste 201 , Saint Charles MO 63301-2882. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Brondz, Igor can be contacted via phone (636) 669-2332.

Contact Information

Primary practice address
400 1St Capitol Dr Ste 201 Saint Charles MO 63301-2882
Fax: (636) 669-2401
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 103336 Missouri

Profile Details

NPI number 1750341152
LBN Legal business name Brondz, Igor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Oct 20th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750341152 NPPES
Missouri MEDICAID 209782705

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