Brandon D. Riesenmy M.D.

NPI 1083671333 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1083671333
Gender Male
Enumeration Date 04/28/2006
Last Updated 02/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2001 S CONNOR AVE
JOPLIN MO, 64804-1841, US
Phone (417) 782-0880
Fax (417) 782-0884
Business Location
200 E. CENTENNIAL
STE. 13
PITTSBURG KS, 66762, US
Phone (620) 231-1068
Fax (620) 231-2792
Toxanomy
Taxonomy Code 2084P0800X
License State Missouri
License Number 112406
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According to our database, Brandon D. Riesenmy M.D. NPI is 1083671333, taxonomy code is 2084P0800X and license number is 112406, license state is located at Missouri. Brandon D. Riesenmy M.D. physically located at 2001 S Connor Ave, Joplin MO, 64804-1841. NPI Number Brandon D. Riesenmy M.D. has the Individual type.

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1083671333 NPI number is provided on an as is basis without warranty of any kind. 1083671333 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon D. Riesenmy M.D. are for informational purposes only.