| The Curators Of The University Of Missouri On Behalf Of The Thompson C | |
|
300 Portland St Suite 110 Columbia MO 65211-0001 | |
| (573) 882-6081 | |
| Not Available |
| Full Name | The Curators Of The University Of Missouri On Behalf Of The Thompson C |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 300 Portland St, Columbia, Missouri |
| Authorized Official Name and Position | James C Poehling (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5738846196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Curators Of The University Of Missouri On Behalf Of The Thompson C 300 Portland St Suite 110 Columbia MO 65211-0001 Ph: (573) 882-6081 | The Curators Of The University Of Missouri On Behalf Of The Thompson C 300 Portland St Suite 110 Columbia MO 65211-0001 Ph: (573) 882-6081 |
| NPI Number | 1235391178 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235391178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 001186 (Missouri) | Primary |
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