Individual
BRIAN BREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-1695
Mailing address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-1695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2009005682
MO
208M00000X
Hospitalist Physician
2009005682
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992925630
—
MO
Enumeration date
04/26/2007
Last updated
11/12/2024
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