Provider First Line Business Practice Location Address:
DEPARTMENT OF PM&R
Provider Second Line Business Practice Location Address:
1 HOSPITAL DRIVE, DC046.00
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65212-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-882-3101
Provider Business Practice Location Address Fax Number:
573-884-4540
Provider Enumeration Date:
06/23/2009