| Lanny Ross Brent, MD | |
| 
					3801 S National Ave, Springfield, MO 65807-5210  | |
| (417) 269-4056 | |
| (417) 269-5556 | 
| Full Name | Lanny Ross Brent | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 3801 S National Ave, Springfield, Missouri | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922067743 | NPI | - | NPPES | 
| 1256 | Other | MO | BLUE | 
| 300043406 | Other | MO | RRR MEDICARE | 
| 156871001 | Medicaid | AR | |
| 200479806 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R4579 (Missouri) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lanny Ross Brent, MD 1550 E Republic Rd, Springfield, MO 65804-6530 Ph: (417) 889-6102  | Lanny Ross Brent, MD 3801 S National Ave, Springfield, MO 65807-5210 Ph: (417) 269-4056  | 
Michael R Fancher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056 Fax: 417-269-5556  | |
Ryan Michael Hegg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-9216  | |
Dr. Jordan C Page, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-9729 Fax: 417-820-6471  | |
Tracy Lynn Roberts, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3850 S National Ave, Suite 300, Springfield, MO 65807 Phone: 417-269-6170 Fax: 417-269-6992  | |
Dr. Bryan Su-hyun Jeun, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056  | |
Dr. Christopher Fleighton Estes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2055 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-2468 Fax: 417-820-7794  | |
Martin Mazen Anbari, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4056 Fax: 417-269-5556  |