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1205947835
PUJA NISTALA
COLUMBIA, MO
NPI
1205947835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2009000184)
Enumeration Date
2006-08-31
Last Update Date
2022-09-02
Business Address
-- PUJA NISTALA M.D.
1 HOSPITAL DR
COLUMBIA, MO 65212-0001
Phone number: 573-884-2375
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Mailing Address
-- PUJA NISTALA M.D.
PO BOX 7687
COLUMBIA, MO 65205-7687
Phone number: 573-882-2259
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