Individual
BRANDON M POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(471) 269-5000
Mailing address
3524 S VALLEY VIEW AVE, SPRINGFIELD, MO 65804-4685
(816) 738-4063
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2018026594
MO
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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