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1477692572
MICAH F. BROTHERS
SPRINGFIELD, MO
NPI
1477692572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2004005756)
Enumeration Date
2007-02-05
Last Update Date
2008-07-22
Business Address
-- MICAH F. BROTHERS PA-C
1229 E SEMINOLE ST
SPRINGFIELD, MO 65804-2227
Phone number: 417-820-5610
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Mailing Address
-- MICAH F. BROTHERS PA-C
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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