Dr. Brent James Eaton, DO
Anesthesiology in Saint Joseph, MO. Individual provider (NPI-1).
NPI number1679815740
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1679815740
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brent James Eaton
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2013
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | R9484 | TX | Yes |
| 207L00000X | Anesthesiology | 2021019890 | MO | |
| 207L00000X | Anesthesiology | 15455 | CA |
Practice location
5325 Faraon StSaint Joseph, MO 64506-3488
Phone 816-271-6350 · Fax 816-271-6753
Mailing address
5301 Faraon St Ste 120Saint Joseph, MO 64506-3512
Phone 816-271-6350 · Fax 816-271-6753
Other practice locations
6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524
Dallas, TX 75240-6524
Phone 972-715-5000
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