Individual
BRIAN H TEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4302 N. QUAIL RUN RD, OZARK, MO 65721
(417) 230-4810
(417) 581-5080
Mailing address
4302 N. QUAIL RUN RD, OZARK, MO 65721
(417) 335-7218
(417) 334-1507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MDR5F63
MO
Other
Enumeration date
06/19/2006
Last updated
09/16/2008
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