Individual provider · Type 1 NPI

Kurt Russell Bravata, MD

General Practice Physician · Buffalo, MO

NPI number 1790096170 Active

Practice location

201 S Ash St
Buffalo, MO 65622-8674

Call (417) 345-6100 Map

Fax (417) 345-6866

Mailing address

1500 N Oakland Ave
Bolivar, MO 65613-3011

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X2013030074 (MO)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

9 other providers at this address

About NPI 1790096170

Kurt Russell Bravata, MD's National Provider Identifier is 1790096170, issued on Jun 30, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Buffalo, MO. The record was last updated on Dec 29, 2016.