Organization
LYLE G. BREEDING, MD, FACS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE G. BREEDING MD (PRESIDENT)
(573) 874-3300
Entity
Organization
Contact information
Practice address
401 KEENE ST, COLUMBIA, MO 65201-6625
(573) 874-3300
(573) 876-1663
Mailing address
401 KEENE ST, COLUMBIA, MO 65201-6625
(573) 874-3300
(573) 876-1663
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R9N91
MO
2086S0129X
Vascular Surgery Physician
Primary
R9N91
MO
Other
Enumeration date
05/17/2006
Last updated
09/11/2025
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