Whalio Doctors

NPI 1073166864

Bryan Bengston

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Saint Louis, MO

Practice location

Address
624 Sessions Ave, Saint Louis, MO 63126-1030
Phone
(314) 974-0416

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 2009005829 (MO)

Registry record

NPI
1073166864
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jul 2019
Record last updated
20 Jul 2019

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.