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NPI Code Detail

MEDICARE: DR. SEAN M BREIT M.D.

MEDICARE: DR. SEAN M BREIT M.D.
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
1207W00000XOphthalmology Physician2006005273MO

General Provider Information

NPI Number : 1508806324
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN M BREIT M.D.
Provider Business Mailing Address
First Line : 15 THE BOULEVARD SAINT LOUIS
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1118
Country : US
Telephone Number : 314-863-4200
Fax Number : 314-863-3570
Provider Business Practice Location Address
First Line : 15 THE BOULEVARD SAINT LOUIS
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1118
Country : US
Telephone Number : 314-863-4200
Fax Number : 314-863-3570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 10/14/2020

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