| Juan J. Pineda, M.d. | |
|
3300 Vawter School Rd Columbia MO 65203-8609 | |
| (573) 445-9764 | |
| Not Available |
| Full Name | Juan J. Pineda, M.d. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3300 Vawter School Rd, Columbia, Missouri |
| Authorized Official Name and Position | Cheryl Lynn Haynie (OFFICE MANAGER) |
| Authorized Official Contact | 5734459764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan J. Pineda, M.d. 3300 Vawter School Rd Columbia MO 65203-8609 Ph: (573) 445-9764 | Juan J. Pineda, M.d. 3300 Vawter School Rd Columbia MO 65203-8609 Ph: (573) 445-9764 |
| NPI Number | 1598896664 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598896664 | NPI | - | NPPES |
| 206996613 | Medicaid | MO | |
| DG1835 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R3P42 (Missouri) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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