Provider Demographics
NPI:1568578235
Name:BRENNAN OB GYN ASSOCIATE, P.C.
Entity Type:Organization
Organization Name:BRENNAN OB GYN ASSOCIATE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SYSTEMS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:SCHOBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-849-3711
Mailing Address - Street 1:13023 TESSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-3480
Mailing Address - Country:US
Mailing Address - Phone:314-849-3711
Mailing Address - Fax:314-849-0235
Practice Address - Street 1:13023 TESSON FERRY RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-3480
Practice Address - Country:US
Practice Address - Phone:314-849-3711
Practice Address - Fax:314-849-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty