Individual
DR. BRIAN D. GOLIGHTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2525
(660) 562-4303
Mailing address
114 E SOUTH HILLS DR, MARYVILLE, MO 64468-2659
(660) 562-2525
(660) 562-4303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000167730
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0555706
—
IA
05
—
205169113
—
MO
Enumeration date
06/09/2005
Last updated
11/09/2012
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