CENTRAL MISSOURI SURGERY LLC

COLUMBIA, MO
NPI1891012878
Entity TypeOrganization
Authorized ContactKIMBERLY C SUPPES
Sole Member
573-876-1630
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: MO  2001018694)
Enumeration Date2010-04-29
Last Update Date2010-07-29
Business Address
CENTRAL MISSOURI SURGERY LLC
401 KEENE ST THE BOONE CLINIC BUILDING
COLUMBIA, MO 65201-6625
Phone number: 573-876-1630
Mailing Address
CENTRAL MISSOURI SURGERY LLC
401 KEENE ST THE BOONE CLINIC BUILDING
COLUMBIA, MO 65201-6625
Phone number: 573-876-1630
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