Brent K. Caudill MD

NPI 1023083722 - General Practice - 208D00000X

NPI Details
NPI 1023083722
Gender Male
Enumeration Date 02/17/2006
Last Updated 09/15/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
HWY 72 N
SALEM MO, 65560, US
Phone (573) 729-6626
Fax (573) 729-6502
Business Location
HWY 72 N
PO BOX 774
SALEM MO, 65560, US
Phone (573) 729-6626
Fax (573) 729-6502
Taxonomy Code 208D00000X
License State Missouri
License Number 109789
Remove 1023083722 NPI Number

According to our database, Brent K. Caudill MD NPI is 1023083722, taxonomy code is 208D00000X and license number is 109789, license state is located at Missouri. Brent K. Caudill MD physically located at Hwy 72 N, Salem MO, 65560. NPI Number Brent K. Caudill MD has the Individual type.

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1023083722 NPI number is provided on an as is basis without warranty of any kind. 1023083722 is maintained by the National Plan & Provider Enumeration System. The contents of Brent K. Caudill MD are for informational purposes only.