Individual
ANGELA J BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2764
(573) 302-2767
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2764
(573) 302-2767
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2014028840
MO
207V00000X
Obstetrics & Gynecology Physician
38154
WI
207V00000X
Obstetrics & Gynecology Physician
OS22445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/17/2006
Last updated
03/02/2026
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