BRENT K. HABERMAN

SAINT LOUIS, MO
NPI1699977686
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080S0012X Pediatrics, Sleep Medicine
(Licence: MO  2016042899)
Additional Taxonomies208000000X Pediatrics
(Licence: MO  2016042899)
2080P0214X Pediatrics, Pediatric Pulmonology
(Licence: MO  2016042899)
2080P0214X Pediatrics, Pediatric Pulmonology
(Licence: TN  47526)
Enumeration Date2007-06-03
Last Update Date2021-03-11
Business Address
BRENT K. HABERMAN MD
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-268-6413
Mailing Address
BRENT K. HABERMAN MD
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-268-6439