Individual
BRENT GONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(660) 785-1000
Mailing address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(660) 785-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025025818
MO
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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