OrganizationActive
Lyle G. Breeding, MD, Facs, PC
NPI 1396797494 · Vascular Surgery Physician · Columbia, MO
Provider details
- NPI number
- 1396797494
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lyle Breeding, President(573) 874-3300
- License
- R9N91 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
401 Keene St
Columbia, MO 65201-6625
Phone: (573) 874-3300
Fax: (573) 876-1663
Approximate (ZIP-level) locationGet directions
Mailing address
401 Keene St
Columbia, MO 65201-6625
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.