Most Relevant Information
Provider Data
| NPI Number: | 1003260449 |
| Provider Name: | BRANDON BAUMGARTEN |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 2013032834 |
Most Important Dates
| Enumeration Date: | 04/22/2016 |
| Last Updated: | 04/22/2016 |
Provider Practice Location
7299 TOWN AND COUNTRY PL
HAZELWOOD
MO
630421929
Practice Location Phone/Fax
| Phone: | 2196290982 |
| Fax: |
Provider Mailing Location
7299 TOWN AND COUNTRY PL
HAZELWOOD
MO
630421929
Provider Mailing Phone/Fax
| Phone: | 2196290982 |
| Fax: |