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Individual

DR. BRANDON D SOHM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 S ASH ST, NEVADA, MO 64772-3224
(417) 667-3355
Mailing address
800 S ASH ST, NEVADA, MO 64772-3224
(417) 667-3355

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIA-1398
ID
207R00000X
Internal Medicine Physician
Primary
2023009736
MO
390200000X
Student in an Organized Health Care Education/Training Program
0116033706
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2010
Last updated
05/29/2023
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