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Contact Information

CHRISTIAN E BRODEUR, MD
3850 S NATIONAL AVE
SUITE 300
SPRINGFIELD, MO65807-5287
 Phone: 417-269-6170
 Fax: 417-269-6992
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CHRISTIAN E BRODEUR · (Male)

NPI Number 1871609453
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2006
Last updated 08/19/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2007029596
  • MO License # T2004016409
  • MO Medicaid 207057605
Hospital affiliation(s)
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
  • COX MONETT HOSPITAL - (Critical Access)
    801 NORTH LINCOLN AVENUE
    MONETT, MO 65708
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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