Individual
DR. PRYOR BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 E WALNUT LAWN ST STE 102, SPRINGFIELD, MO 65807-7865
(417) 875-3000
Mailing address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 612-1660
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01059894A
IN
207Y00000X
Otolaryngology Physician
Primary
2022006412
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200108044
—
MO
Enumeration date
04/06/2007
Last updated
03/18/2026
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