TRAVIS BIRKHEAD

COLUMBIA, MO
NPI1477016301
Professional NameMIKE BIRKHEAD
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: MO  2022010637)
Additional Taxonomies207R00000X Internal Medicine
(Licence: KS  9410106)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-08
Last Update Date2022-05-13
Business Address
TRAVIS BIRKHEAD MD
2475 BROADWAY BLUFFS DR STE 301
COLUMBIA, MO 65201-8147
Phone number: 573-874-3235
Mailing Address
TRAVIS BIRKHEAD MD
2475 BROADWAY BLUFFS DR STE 301
COLUMBIA, MO 65201-8147
Phone number: 573-874-3235