TRACEY BERTRAM

SAINT LOUIS, MO
NPI1720428592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  2013021133)
Enumeration Date2013-06-26
Last Update Date2013-06-26
Business Address
-- TRACEY BERTRAM MD
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-5834
Mailing Address
-- TRACEY BERTRAM MD
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-5834
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