David Brink, MD
Pathology, Pediatric Pathology in Saint Louis, MO. Individual provider (NPI-1).
NPI number1922054196
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1922054196
- Entity type
- Individual (NPI-1)
- Name
- David Brink
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2006
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0213X | Pathology, Pediatric Pathology | 108189 | MO | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 108189 | MO | |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 036103867 | IL | |
| 207ZP0213X | Pathology, Pediatric Pathology | 036103867 | IL |
Practice location
1402 S Grand BlvdSaint Louis, MO 63104-1004
Phone 314-566-7697 · Fax 314-977-7615
Mailing address
1402 S Grand BlvdSaint Louis, MO 63104-1004
Phone 314-566-7697 · Fax 314-977-7615
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