Individual
DR. BRIAN WILSON ADKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2212 W. KEARNEY, SPRINGFIELD, MO 65803
(417) 831-8074
(417) 864-6585
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R4P92
MO
207Q00000X
Family Medicine Physician
Primary
R4P92
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811078496
—
MO
Enumeration date
10/18/2006
Last updated
10/02/2014
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