Individual
JOSHUA BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 875-3800
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2020033532
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200072741
—
MO
Enumeration date
04/11/2016
Last updated
02/15/2022
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