Smith, Bradley Thomas
Smith, Bradley Thomas is an individual health care provider with primary practice located at 17 The Boulevard Saint Louis , Saint Louis MO 63117-1118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Smith, Bradley Thomas can be contacted via phone (314) 367-1181.Contact Information
Primary practice address
17 The Boulevard Saint Louis
Saint Louis MO 63117-1118
Phone: (314) 367-1181
Fax: (314) 968-5117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 2006005754 | Missouri |
Profile Details
| NPI number | 1588608970 |
|---|---|
| LBN Legal business name | Smith, Bradley Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Feb 4th, 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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