DEREK CHRISTOPHER BRADDIX

SAINT LOUIS, MO
NPI1588110480
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2016025007)
Enumeration Date2016-08-30
Last Update Date2020-09-28
Business Address
DEREK CHRISTOPHER BRADDIX
9717 LANDMARK PARKWAY DR
SAINT LOUIS, MO 63127-1628
Phone number: 775-423-6400
Mailing Address
DEREK CHRISTOPHER BRADDIX
1119 MISSISSIPPI AVE APT 115
SAINT LOUIS, MO 63104-2457
Phone number: 314-323-5316
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