State Of Missouri
Specialty details in registry · Columbia, MO
At a glance
1500 Vandiver Dr, Columbia, MO 65202-3932
NPPES record updated Oct 27, 2020. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1500 Vandiver Dr Suite 100Columbia, MO 65202-3932
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251B00000X
- Enumeration date
- Nov 9, 2006
- Record updated
- Oct 27, 2020
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
251B00000X · Primary
License reported: EXEMPT MO
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1500 Vandiver DrSuite 100
Columbia, MO 65202-3932
- Phone
- (573) 882-9835
- Fax
- (573) 884-4294
Mailing address
1706 E ELM STJEFFERSON CITY, MO 651014130
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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