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Central Missouri Urology Clinic, Inc
Specialist in Rolla, Missouri
NPI 1710940630

Central Missouri Urology Clinic, Inc is a Specialist based in Rolla, MO. Central Missouri Urology Clinic, Inc practices in Rolla, MO. The NPI Number for Central Missouri Urology Clinic, Inc is 1710940630 and holds a License No. 110031 (Missouri).

The current practice location address for Central Missouri Urology Clinic, Inc is 1428 East 72 Highway, Rolla, MO and can be reached out via phone at 573-364-1014 and via fax at 573-364-6872.

Location: 1428 East 72 Highway, Rolla, MO, 65401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710940630
Provider Name
Central Missouri Urology Clinic, Inc
Credential
Provider Entity Type
Organization
Address
1428 East 72 Highway, Rolla, MO, 65401
Phone Number
573-364-1014
Fax Number
573-364-6872
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208305102 05 MO
institution
Provider Business Practice Location Address Details
Address
1428 East 72 Highway
City
Rolla
State
Missouri
Zip
65401
Phone Number
573-364-1014
Fax Number
573-364-6872
person
Provider Business Mailing Address Details
Address
1428 East 72 Highway
City
Rolla
State
Missouri
Zip
65401
Phone Number
573-364-1014
Fax Number
573-364-6872
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
110031 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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