ProviderBusinessMailingAddressFaxNumber = '8669274145'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1780137356
RAYMOND A. BRICKHOUSE, DPM LLC
6400 CLAYTON RD STE 412
SAINT LOUIS
MO
631171850
1437314812
BRICKHOUSE
RAYMOND
ANGELO
PO BOX 790
EDWARDSVILLE
IL
620250790
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