Doctor Name: | BRIAN DAVID MUEGGE |
NPI Number: | 1053757484 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., PH.D |
License Number: | |
Business Practice Address: | 4921 Parkview Pl Suite C 5th Floor Saint Louis, MO - 631101032 |
Business Phone Number: | 3143623500 |
Business Fax Number: | 3147473963 |
Mailing Address: | 660 S Euclid Ave, Campus Box 8127 SAINT LOUIS |
State: | MO |
Postal Code: | 631101010 |
Phone Number: | 3143623500 |
Fax Number: | 3143627641 |
NPI Enumeration Date: | 05/13/2013 |
NPI Last Update Date: | 07/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |