BRADLY ROBERT BUSH

SAINT LOUIS, MO
NPI1033219712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019021954)
Enumeration Date2006-09-23
Last Update Date2016-09-02
Business Address
-- BRADLY ROBERT BUSH DMD
1500 PARK AVENUE
SAINT LOUIS, MO 63104-3024
Phone number: 314-898-1700
Mailing Address
-- BRADLY ROBERT BUSH DMD
1717 BIDDLE ST
SAINT LOUIS, MO 63106-3454
Phone number: 314-898-1700