Individual
JOEL O BRENDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 FARAON ST., ST. JOSEPH, MO 64506-3488
(816) 271-7273
(816) 271-7376
Mailing address
5325 FARAON ST., ST. JOSEPH, MO 64506-3488
(816) 271-7273
(816) 271-7376
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2007008846
MO
2084P0800X
Psychiatry Physician
29002
AZ
2084P0800X
Psychiatry Physician
299002
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053184
—
AZ
Enumeration date
06/04/2007
Last updated
09/18/2017
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