DR. KEITH ERIC BRANDT MD

Surgery Yellow Pages

Saint Louis, Missouri

Provider NPI: 1386661916

Provider Information:
DR. KEITH ERIC BRANDT MD


Practice Location:
4921 PARKVIEW PL DIV SURG PLASTICS, STE 6G SAINT LOUIS, MO 63110 US
Tel: 314-362-7388  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	2082S0105X	Physicians Plastic Surgery Surgery of the Hand	MO	R2P77
N	2086S0127X	Physicians Surgery	MO	R2P77
Y	2086S0122X	Physicians Surgery	MO	R2P77

Other Provider Identifiers:

Issuer	Number	State	Type
	203002605	MO	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin