NEIL I. BRICKEL, MD, INC
Medical Practice at Olde Cabin Rd, Saint Louis, MO

License number
Missouri 31040
Category
Medical Practice
Type
Specialist
Owner
Name: MS. MOLLY I KENNEDY
Title: MANAGER
Phone: (314) 997-5208
Address
Address
11477 Olde Cabin Rd SUITE 210, Saint Louis, MO 63141
National Provider ID: 1215103643
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NEIL I BRICKEL MD INC

867 Minarca Dr, Saint Louis, MO 63131

Registration:
Nov 21, 1977
State ID:
00196200
Business type:
Gen. Business - For Profit
Expiration:
Perpetual
Agent:
Neil I. Brickel,867 Minarca, Saint Louis, MO 63131 (Physical)

NEIL I. BRICKEL, M.D., INC

7912 Bonhomme Ave STE 401, Saint Louis, MO 63105

Status:
Inactive
Registration:
Dec 22, 1977
Inactive since:
Aug 28, 2009
State ID:
X00105986
Business type:
Fictitious Name

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