institution
Mary M. Dick, Md Llc
Adult Mental Health Clinic/Center in Columbia, Missouri
NPI 1396001723

Mary M. Dick, Md Llc is an Adult Mental Health Clinic/Center based in Columbia, MO and is specialized in Adult Mental Health. Mary M. Dick, Md Llc practices in Columbia, MO. The NPI Number for Mary M. Dick, Md Llc is 1396001723 and holds a License No. R8178 (Missouri).

The current practice location address for Mary M. Dick, Md Llc is 2100 E Broadway, Columbia, MO and can be reached out via phone at 573-449-5800 and via fax at 573-693-4190. You can also correspond with Mary M. Dick, Md Llc through the mailing address at 2100 E BROADWAY, COLUMBIA, MO - 65201-6082 (mailing address contact number: 573-449-5800).

Location: 2100 E Broadway, Columbia, MO, 65201-6082
institution
Provider Profile Details
NPI Number
1396001723
Provider Name
Mary M. Dick, Md Llc
Credential
Provider Entity Type
Organization
Address
2100 E Broadway, Columbia, MO, 65201-6082
Phone Number
573-449-5800
Fax Number
573-693-4190
Provider Enumeration Date
04/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
309074 01 MO COVENTRY HEALTH CARE PLAN
12382 01 MO ANTHEM BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2100 E Broadway
City
State
Zip
65201-6082
Phone Number
573-449-5800
Fax Number
573-693-4190
person
Provider Business Mailing Address Details
Address
2100 E Broadway
City
State
Zip
65201-6082
Phone Number
573-449-5800
Fax Number
573-693-4190
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
R8178 (Missouri)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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