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NPI Code Detail

MEDICARE: MONET STAR BRYANT CPS

MEDICARE:   MONET STAR BRYANT  CPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1508541525
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONET STAR BRYANT CPS
Provider Business Mailing Address
First Line : 1155 SAINT LOUIS GALLERIA
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-1159
Country : US
Telephone Number : 314-861-8972
Fax Number :
Provider Business Practice Location Address
First Line : 1155 SAINT LOUIS GALLERIA STE 1194-30
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1159
Country : US
Telephone Number : 314-861-8972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 09/19/2025

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Directions to “ MONET STAR BRYANT CPS” Practice Location

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