Individual
BRYAN DOUGLAS PIOTROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 WESTMOUNT DR, FARMINGTON, MO 63640-2970
(573) 756-1813
Mailing address
PO BOX 897, FARMINGTON, MO 63640-0897
(573) 756-1813
(573) 756-1868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007016520
MO
207RC0000X
Cardiovascular Disease Physician
Primary
2007016520
MO
207RI0011X
Interventional Cardiology Physician
2007016520
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007016520
LICENSE
MO
Enumeration date
10/24/2006
Last updated
12/16/2022
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