MAX H BURGDORF

BRIDGETON, MO
NPI1932154416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  R7087)
Additional Taxonomies208000000X Pediatrics
(Licence: MO  R7087)
Enumeration Date2006-05-23
Last Update Date2007-07-09
Business Address
-- MAX H BURGDORF MD
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Phone number: 314-344-6000
Mailing Address
-- MAX H BURGDORF MD
1836 LACKLAND HILL PKWY ATTENTION: CREDENTIALING DEPARTMENT
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300