Stash, Bryce Decidue

Stash, Bryce Decidue is an individual health care provider with primary practice located at 1720 Chouteau Ave , Saint Louis MO 63103-3112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Stash, Bryce Decidue can be contacted via phone (325) 660-4747.

Contact Information

Primary practice address
1720 Chouteau Ave Saint Louis MO 63103-3112
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2016019983 Missouri

Profile Details

NPI number 1972954345
LBN Legal business name Stash, Bryce Decidue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2016
Last updated Jun 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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