Individual
AMANDA CHRISTINE BRODEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1965 S FREMONT AVE, STE 220, SPRINGFIELD, MO 65804-2201
(417) 820-2229
(417) 820-6580
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
2011001799
MO
208000000X
Pediatrics Physician
2011001799
MO
Other
Enumeration date
09/14/2006
Last updated
01/12/2024
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