NPI 1053141853

Chad Brown, CPED

Practitioner Pedorthist Saint Louis, MO

Practice location

Address: 11633 Olive Blvd, Saint Louis, MO 63141-7001
Phone: (314) 872-2929
Fax: (314) 872-2926

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CP1042 (MO)

Other Pedorthist providers in Missouri →

Registry record

NPI: 1053141853
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2024
Record last updated: 6 Aug 2024

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.