Individual provider · NPI-1

Dr. Brian Wilson Adkison, D.O.

Family Medicine · Springfield, MO

NPI number1811078496
StatusActive
Last updated in NPPESOct 2, 2014

Details

NPI
1811078496
Entity type
Individual (NPI-1)
Name
Dr. Brian Wilson Adkison
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 18, 2006
Last updated
Oct 2, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineR4P92MOYes
207P00000X Emergency MedicineR4P92MO

Practice location

2212 W. Kearney
Springfield, MO 65803

Phone 417-831-8074 · Fax 417-864-6585

Mailing address

Po Box 505164
Saint Louis, MO 63150-5164

Phone 417-829-4620

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