Search › Missouri › 2081S0010X
Bryan Bengston
NPI 1073166864 · on the registry since 2019 · sole proprietor
Practice
- Address
- 624 Sessions Ave
Saint Louis, MO 63126 - Phone
- (314) 974-0416
Registry record
- Primary taxonomy
- 2081S0010X
2081S0010X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri