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Individual

DR. BRYAN SU-HYUN JEUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4056
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 875-3000

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
2014015319
MO
2085R0202X
Diagnostic Radiology Physician
2014015319
MO
2085R0202X
Diagnostic Radiology Physician
DR.0068937
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063674216
MO
05
200015934
MO
Enumeration date
06/30/2008
Last updated
11/04/2022
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