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Contact Information

BRYAN S JEUN, MD
3801 S NATIONAL AVE
SPRINGFIELD, MO65807-5210
 Phone: 417-269-4056
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroradiology

2085N0700X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for BRYAN S JEUN · (Male)

NPI Number 1063674216
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2008
Last updated 11/04/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # DR.0068937
  • MO License # 2014015319
  • MO Medicaid 1063674216
  • MO Medicaid 200015934
Hospital affiliation(s)
  • CITIZENS MEMORIAL HOSPITAL - (Acute Care)
    1500 N OAKLAND
    BOLIVAR, MO 65613
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
  • COX MONETT HOSPITAL - (Critical Access)
    801 NORTH LINCOLN AVENUE
    MONETT, MO 65708
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
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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