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1053493981
MARTHA J. COLVILLE
CHESTERFIELD, MO
NPI
1053493981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 115117)
Enumeration Date
2006-10-19
Last Update Date
2018-11-13
Business Address
Dr. MARTHA J. COLVILLE MD
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017-2004
Phone number: 636-237-4200
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Mailing Address
Dr. MARTHA J. COLVILLE MD
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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