Individual
DANA RENEE BRECOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
315 S OSTEOPATHY AVE, KIRKSVILLE, MO 63501-6401
(660) 785-1400
Mailing address
19010 195TH ST, KEOSAUQUA, IA 52565-8179
(319) 931-3541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011018221
MO
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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