NPI 1902545858

Gregory Bardley, CERTIFIEDPEDORTHIST

Practitioner Pedorthist Saint Peters, MO

Practice location

Address: 1405 Jungermann Rd, Saint Peters, MO 63376-7377
Phone: (636) 485-2992

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1902545858
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2022
Record last updated: 31 May 2022

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.