Stacey Brouk, RD, LD

NPI 1558511048 · on the registry since 2008 · sole proprietor

Practice

Address: 10007 Kennerly Rd
Suite A
Saint Louis, MO 63128
Phone: (314) 776-7112
Fax: (314) 776-7114
Organisation at this address: Sureguard Llc
American Pain Clinic
Pathway Wound Alliance Inc
Bwell Pharmacy Kennerly Llc
Ideal Pediatric Wellness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 133V00000X
133V00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-10-04

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