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Individual

DR. RONALD BRENT NEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3250 GORDONVILLE RD, SUITE 358, CAPE GIRARDEAU, MO 63703-5056
(573) 331-5589
(573) 331-5096
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-3000
(573) 331-5073

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2016033283
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912019019
MO
Enumeration date
08/31/2006
Last updated
01/20/2022
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