Individual
MR. ROBERT WRIGHT BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
206 HOSPITAL LN, SUITE 202, PERRYVILLE, MO 63775-1276
(573) 768-3396
(573) 768-3397
Mailing address
206 HOSPITAL LN, SUITE 202, PERRYVILLE, MO 63775-1276
(573) 768-3396
(573) 768-3397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2001023599
MO
Other
Enumeration date
08/23/2005
Last updated
03/29/2012
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