Richard Glenn Brandel, D.P.M. Valid NPI

Individual provider · Podiatrist · Saint Louis, MO

NPI

1154323657

Type

Individual (Type 1)

Primary specialty

Podiatrist

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213E00000X

License number

000482 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2005-08-15

Last updated

2007-07-08