location
search-icon
person
Stephen R Braddock, MD
Clinical Genetics (M.D.) Physician in St. Louis, Missouri
NPI 1811934490

Stephen R Braddock is a Clinical Genetics (M.D.) Physician based in Saint Louis, MO and is specialized in Clinical Genetics (M.D.). Stephen R Braddock practices in St. Louis, MO and has the professional credentials of MD. The NPI Number for Stephen R Braddock is 1811934490 and holds a License No. MD106085 (Missouri).

The current practice location address for Stephen R Braddock is 1465 S Grand Blvd, St. Louis, MO and can be reached out via phone at 314-577-5639 and via fax at 314-268-4112.

Location: 1465 S Grand Blvd, St. Louis, MO, 63104-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811934490
Provider Name
Stephen R Braddock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1465 S Grand Blvd, St. Louis, MO, 63104-1003
Phone Number
314-577-5639
Fax Number
314-268-4112
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
762132 05 VA
207684309 05 MO
institution
Provider Business Practice Location Address Details
Address
1465 S Grand Blvd
City
St. Louis
State
Missouri
Zip
63104-1003
Phone Number
314-577-5639
Fax Number
314-268-4112
person
Provider Business Mailing Address Details
Address
1465 S Grand Blvd
City
St. Louis
State
Missouri
Zip
63104-1003
Phone Number
314-577-5639
Fax Number
314-268-4112
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Genetics (M.D.)
Taxonomy
207SG0201X
License No.
106085 (Missouri)
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
MD106085 (Missouri)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in St. Louis, Missouri:

person
Shulamit Menashe Portnoy
NPI 1033115589
Clinical Genetics (M.D.) Physician
1465 S Grand Blvd,
ST. LOUIS, MO
63104-1003
314-577-5609
More