SearchMissouri101YP2500X

Brian South

NPI 1487943056 · on the registry since 2011 · sole proprietor

Practice

Address
2131 S Eastgate Ave
Springfield, MO 65809
Phone
(417) 763-3309
Fax
(417) 763-3331
Clinicians at this address
9

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri