| Neurological Diagnostics, Llc | |
|
12266 Depaul Dr Suite 130 Bridgeton MO 63044-2514 | |
| (314) 291-2446 | |
| (314) 291-7150 |
| Full Name | Neurological Diagnostics, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 12266 Depaul Dr, Bridgeton, Missouri |
| Authorized Official Name and Position | Glenn M Sherrod (PRESIDENT) |
| Authorized Official Contact | 3142912446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurological Diagnostics, Llc 12266 Depaul Drive Suite 130 Bridgeton MO 63044-2514 Ph: (314) 291-2446 | Neurological Diagnostics, Llc 12266 Depaul Dr Suite 130 Bridgeton MO 63044-2514 Ph: (314) 291-2446 |
| NPI Number | 1174897862 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 02/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174897862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 30655 (Missouri) | Primary |
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