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1851135321
CASEY FOGARTY
COLUMBIA, MO
NPI
1851135321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2024023603)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
CASEY FOGARTY MD
1001 W WORLEY ST
COLUMBIA, MO 65203-2037
Phone number: 573-214-2314
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Mailing Address
CASEY FOGARTY MD
1 HOSPITAL DR
COLUMBIA, MO 65201-5276
Phone number: 573-882-6970
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