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1205810512
BRAD C WHITE
SAINT LOUIS, MO
NPI
1205810512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: MO 114377)
Additional Taxonomies
208800000X Urology
(Licence: IL 036-097383)
Enumeration Date
2005-11-30
Last Update Date
2021-12-01
Business Address
Dr. BRAD C WHITE MD
12855 N 40 DR SUITE 375
SAINT LOUIS, MO 63141-8635
Phone number: 314-567-6071
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Mailing Address
Dr. BRAD C WHITE MD
12855 N 40 DR SUITE 375
SAINT LOUIS, MO 63141-8635
Phone number: 314-567-6071
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