is a Critical Care Medicine in Columbia, Missouri. practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for is 1497707996. The last update date is .
's current location address is 1101 Hospital Drive, Columbia, Missouri. You can contact this provider via phone number 5738828788 and fax number 5738823131. The mailing address for is 1101 Hospital Drive, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1101 Hospital Drive, Columbia, Missouri |
| Phone Number | 5738828788 |
| Fax Number | 5738823131 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1497707996 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1101 Hospital Drive |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 6521200010 |
| Phone Number | 5738828788 |
| Fax Number | 5738823131 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 108226 |
|
Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 194059 | MO | BLUE SHIELD/BLUE CHOICE | |
| 205403207 | MO | -- | |
| 3200153 | MO | UNITED HEALTHCARE | |
| 690439 | MO | HEALTHLINK |
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