Stoner, Bradley P

Stoner, Bradley P is an individual health care provider with primary practice located at 1 Brookings Dr Box 1114, Saint Louis MO 63130-4862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Stoner, Bradley P can be contacted via phone (314) 935-5673.

Contact Information

Primary practice address
1 Brookings Dr Box 1114 Saint Louis MO 63130-4862
Fax: (314) 935-8535
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 107369 Missouri

Profile Details

NPI number 1659334555
LBN Legal business name Stoner, Bradley P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jan 5th, 2015 - about 9 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 1659334555 NPPES
Missouri MEDICAID 207818709

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