Provider Demographics
NPI:1598929499
Name:ASH, BRIAN KEITH (CSFA)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:KEITH
Last Name:ASH
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
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Mailing Address - Street 1:10922 SHEA DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-4944
Mailing Address - Country:US
Mailing Address - Phone:314-849-8593
Mailing Address - Fax:314-849-8593
Practice Address - Street 1:10922 SHEA DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-4944
Practice Address - Country:US
Practice Address - Phone:314-849-8593
Practice Address - Fax:314-849-8593
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2011-09-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant