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1649226291
MARK RICHARD WAKEFIELD
COLUMBIA, MO
NPI
1649226291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: MO 106072)
Enumeration Date
2006-05-25
Last Update Date
2024-05-20
Business Address
MARK RICHARD WAKEFIELD MD
ONE HOSPITAL DRIVE
COLUMBIA, MO 65212-0001
Phone number: 573-882-6500
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Mailing Address
MARK RICHARD WAKEFIELD MD
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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