Individual
BRIAN TOEDEBUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 884-4608
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 882-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2017016487
MO
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2017016487
MO
Other
Enumeration date
07/06/2012
Last updated
10/23/2024
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