Visionary Cts LLC
NPI #1073198065 in Saint Charles, Missouri
Provider Information
- NPI Number
- 1073198065
- Entity Type
- Organization
- Organization Name
- Visionary Cts LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 11, 2021
- Last Updated
- Mar 11, 2021
Practice Location
- Address
- 1551 WALL ST STE 120
- City
- Saint Charles
- State
- Missouri
- ZIP Code
- 63303-3540
- Phone
- (636) 219-0177
Authorized Official
- Name
- DR. BRADLEY A BREEDEN, DO
- Title
- MEDICAL DIRECTOR
- Phone
- (913) 669-9394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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