Matt E Thornburg in Columbia - Sports Medicine

Matt E Thornburg - NPI 1447244330

Matt E Thornburg is a Sports Medicine in Columbia, Missouri. Matt E Thornburg practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Matt E Thornburg is 1447244330. The last update date is 2011-11-04.

Matt E Thornburg's current location address is 1 S Keene St, Columbia, Missouri. You can contact this provider via phone number 5734432402 and fax number 5734430574. The mailing address for Matt E Thornburg is 1 S Keene St, Columbia, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Matt E Thornburg
Address 1 S Keene St, Columbia, Missouri
Phone Number 5734432402
Fax Number 5734430574
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1447244330
Provider Enumeration Date 2005-09-07
Last Updated Date 2011-11-04

Provider Mailing Address Detail

Address 1 S Keene St
City Columbia
State Missouri (MO)
Post Code 652017199
Phone Number 5734432402
Fax Number 5734430574

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 2000161380
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
203746714 MO --

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FAQs about Matt E Thornburg

What is the unique identification code assigned to Matt E Thornburg by the Centers for Medicare & Medicaid Services?

The Matt E Thornburg has been issued the NPI (National Provider Identifier) 1447244330. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Matt E Thornburg's facilities are geographically located?

The facilities of Matt E Thornburg are physically situated at the following location: 1 S Keene St, Columbia, MO, 652017199.

What is the Matt E Thornburg's specialty and taxonomy code?

The Matt E Thornburg's specialty is Sports Medicine, and the corresponding taxonomy code is 207Qs0010X.

When was the Matt E Thornburg's 1447244330 issued?

The Matt E Thornburg's 1447244330 was issued on 2005-09-07.

When was the information regarding Matt E Thornburg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Matt E Thornburg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-04.

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