Individual
DR. BRENT EVERETT WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
316 N MAIN ST, BROOKFIELD, MO 64628-1601
(660) 258-4646
Mailing address
113 MAPLE ST, BUCKLIN, MO 64631-9113
(660) 695-3635
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006032871
MO
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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