Whalio Doctors

NPI 1043622566

R&r 1 LLC

Organisation Adult Reconstructive Orthopaedic Surgery Physician Saint Louis, MO

Practice location

Address
9272 Caddyshack Cir, Saint Louis, MO 63127-1932
Phone
(314) 718-7276

Authorised official

Name
Matt Bradley
Title
Owner
Phone
(314) 718-7276

Registered specialties

Adult Reconstructive Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207XS0114X Licence 2010008612 (MO)

Registry record

NPI
1043622566
Entity type
Organization
NPI issued
2 Jun 2014
Record last updated
7 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.