Stephen R Braddock in Saint Louis - Clinical Genetics (m.d.)
Stephen R Braddock - NPI 1811934490
Stephen R Braddock is a Clinical Genetics (m.d.) in Saint Louis, Missouri. Stephen R Braddock practices all healthcare services and medical treatments related to Clinical Genetics (m.d.). The NPI Number for Stephen R Braddock is 1811934490. The last update date is 2021-01-15.
Stephen R Braddock's current location address is 1465 S Grand Blvd, Saint Louis, Missouri. You can contact this provider via phone number 3145775639 and fax number 3142684112. The mailing address for Stephen R Braddock is 1465 S Grand Blvd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen R Braddock |
|---|---|
| Address | 1465 S Grand Blvd, Saint Louis, Missouri |
| Phone Number | 3145775639 |
| Fax Number | 3142684112 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811934490 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2021-01-15 |
Provider Mailing Address Detail
| Address | 1465 S Grand Blvd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631041003 |
| Phone Number | 3145775639 |
| Fax Number | 3142684112 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Genetics (m.d.) |
|---|---|
| Taxonomy | 207Sg0201X |
| Licence No | 106085 |
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Definition: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 762132 | VA | -- | |
| 207684309 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stephen R Braddock by the Centers for Medicare & Medicaid Services?
The Stephen R Braddock has been assigned the NPI (National Provider Identifier) 1811934490 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Stephen R Braddock?
The Stephen R Braddock is situated at 1465 S Grand Blvd, in the city of Saint Louis, state of MO, with the zip code 631041003.
What is the Stephen R Braddock's area of specialization and corresponding taxonomy classification?
The Stephen R Braddock's specialty field is Clinical Genetics (m.d.), and it falls under the taxonomy code 207Sg0201X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1811934490 to Stephen R Braddock?
The Centers for Medicare & Medicaid Services assigned the 1811934490 to Stephen R Braddock on 2006-06-01.
When was the information related to Stephen R Braddock most recently updated or refreshed?
The details pertaining to the Stephen R Braddock, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-15.