Brent D Speak DO

NPI 1063681419 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1063681419
Gender Male
Enumeration Date 02/29/2008
Last Updated 11/06/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
402 W JEFFERSON ST
KIRKSVILLE MO, 63501-3407, US
Phone (660) 665-3555
Fax (660) 665-3547
Business Location
1416 CROWN DR
KIRKSVILLE MO, 63501-2548, US
Phone (660) 627-5757
Fax (660) 627-5802
Toxanomy
Taxonomy Code 207V00000X
License State Missouri
License Number 2009006697
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According to our database, Brent D Speak DO NPI is 1063681419, taxonomy code is 207V00000X and license number is 2009006697, license state is located at Missouri. Brent D Speak DO physically located at 402 W Jefferson St, Kirksville MO, 63501-3407. NPI Number Brent D Speak DO has the Individual type.

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1063681419 NPI number is provided on an as is basis without warranty of any kind. 1063681419 is maintained by the National Plan & Provider Enumeration System. The contents of Brent D Speak DO are for informational purposes only.