Individual
BRETT MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3126 S JACKSON AVE STE 100, JOPLIN, MO 64804-2534
(417) 623-2207
Mailing address
3126 S JACKSON AVE STE 100, JOPLIN, MO 64804-2534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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