Individual
BRENT D SPEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
402 W JEFFERSON ST, KIRKSVILLE, MO 63501-3407
(660) 665-3555
(660) 665-3547
Mailing address
1416 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-5757
(660) 627-5802
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2009006697
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503351801
—
MO
Enumeration date
02/29/2008
Last updated
11/06/2012
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