| Tim Soncasie Internal Medicine At Boone Clinic, Llc | |
|
401 N Keene St Columbia MO 65201-6625 | |
| (573) 876-1665 | |
| (573) 874-0665 |
| Full Name | Tim Soncasie Internal Medicine At Boone Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 N Keene St, Columbia, Missouri |
| Authorized Official Name and Position | Tim Soncasie (PRESIDENT) |
| Authorized Official Contact | 5738761660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tim Soncasie Internal Medicine At Boone Clinic, Llc 401 N Keene St Columbia MO 65201-6625 Ph: (573) 876-1660 | Tim Soncasie Internal Medicine At Boone Clinic, Llc 401 N Keene St Columbia MO 65201-6625 Ph: (573) 876-1665 |
| NPI Number | 1750764536 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750764536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 111504 (Missouri) | Primary |
Columbia Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Keene St, Suite 301, Columbia, MO 65201 Phone: 573-449-0808 Fax: 573-442-1331 | |
Sme Virginia Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
University Physicians Specialty Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 W Broadway, Columbia, MO 65203 Phone: 573-884-7701 | |
Sme Utah, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
Sme Idaho P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
Nephrology And Hypertension Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 W Broadway, Columbia, MO 65203 Phone: 573-499-0642 Fax: 573-449-1787 | |
Family Dental Center Columbia East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2475 Broadway Bluffs Dr, Suite 200, Columbia, MO 65201 Phone: 573-777-9282 Fax: 573-777-9569 |