Individual
DR. BRIAN ROBERT KRIETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
2007018713
MO
207Y00000X
Otolaryngology Physician
Primary
2007018713
MO
Other
Enumeration date
07/30/2007
Last updated
03/12/2025
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