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1083143192
ALEX LOILAND PEDERSON
COLUMBIA, MO
NPI
1083143192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO 2022037576)
Enumeration Date
2017-06-12
Last Update Date
2022-10-04
Business Address
ALEX LOILAND PEDERSON DO
ONE HOSPITAL DR
COLUMBIA, MO 65212-0001
Phone number: 573-884-4082
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Mailing Address
ALEX LOILAND PEDERSON DO
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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