Bruce Jay Berwald, MD Valid NPI

Individual provider · Internal Medicine Physician · Bridgeton, MO

NPI

1376647644

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

114332 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2006-09-08

Last updated

2019-01-15