Brian Lowell Proctor, DO

Pediatrics Physician · Columbia, MO

Individual Active NPI

NPI number 1659867596

Practice location

404 N Keene St
Columbia, MO 65201-6626
Phone
(573) 882-4438
Fax
(573) 884-9992

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NPI record

NPI
1659867596
Entity type
Individual (Type 1)
Enumeration date
July 3, 2018
Last updated
July 3, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 2018020641 MO

Mailing address

400 N Keene St
Columbia, MO 65201-6626
Phone
(573) 882-4438
Fax
(573) 884-9992

About Dr. Proctor

Brian Lowell Proctor, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 404 N Keene St, Columbia, MO 65201-6626. The NPI number 1659867596 was assigned on July 3, 2018 and the record was last updated on July 3, 2018.

Dr. Proctor lists a license in the registry: #2018020641 (MO) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Lowell Proctor, DO?

The NPI number is 1659867596.

What is the phone number of Dr. Proctor?

The phone number listed for the practice location is (573) 882-4438.

Where is Dr. Proctor located?

404 N Keene St, Columbia, MO 65201-6626.

What is the taxonomy code for Dr. Proctor?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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