Individual
MR. BRAD DEAN HOSKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15688 US HIGHWAY 160 STE A, FORSYTH, MO 65653-8104
(417) 546-6030
(417) 546-6029
Mailing address
15688 US HIGHWAY 160 STE A, FORSYTH, MO 65653-8104
(417) 546-6030
(417) 546-6029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
117351
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121146
BLUE CROSS BLUE SHIELD
MO
Enumeration date
11/15/2006
Last updated
07/08/2007
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