BRIAN J GILLENWATER

LIBERTY, MO
NPI1649543828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2010019019)
Enumeration Date2012-02-17
Last Update Date2017-02-22
Business Address
Dr. BRIAN J GILLENWATER D.O.
2609 GLENN HENDREN DR
LIBERTY, MO 64068-3313
Phone number: 816-781-7730
Mailing Address
Dr. BRIAN J GILLENWATER D.O.
PO BOX 219672
KANSAS CITY, MO 64121-9672
Phone number: 816-781-7730
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