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Specialty details in registry · Brentwood, MO

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At a glance

567 Hanley Industrial Ct, Brentwood, MO 63144-1901

NPPES record updated Mar 1, 2021. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

567 Hanley Industrial Ct
Brentwood, MO 63144-1901
Professional details: NPI, taxonomy & registry record
NPI1790379840
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QP2000X
Enumeration date
Mar 1, 2021
Record updated
Mar 1, 2021
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QP2000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

567 Hanley Industrial Ct
Brentwood, MO 63144-1901
Phone
(314) 252-0504
Mailing address
567 HANLEY INDUSTRIAL CT

BRENTWOOD, MO 631441901
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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