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GUSSIE D BROTHERTON III DO

Individual Provider (NPI-1) Active

Internal Medicine

Provider Information

NPI Number
1902210792
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO, 637035049
Phone
(573) 331-5770
Fax
(573) 331-3974

Specialties & Taxonomies

Internal Medicine Primary License: MO #2014019010

All Addresses

LOCATION

211 SAINT FRANCIS DR

CAPE GIRARDEAU, MO, 637035049

(573) 331-5770

MAILING

PO BOX 801143

KANSAS CITY, MO, 641801143

(573) 331-5583