NPI 1548345838

Berwald Surgical Medical INC

Organisation Non-Pharmacy Dispensing Site Bridgeton, MO

Practice location

Address: 3478 Bridgeland Dr STE 2, Bridgeton, MO 63044-2619
Phone: (314) 739-8200
Fax: (314) 739-8261

Authorised official

Name: Bruce Berwald
Title: Owner
Phone: (314) 739-8200

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 114322 (MO)

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Registry record

NPI: 1548345838
Entity type: Organization
NPI issued: 26 Oct 2006
Record last updated: 22 Aug 2020

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.