Provider First Line Business Practice Location Address:
800 HOSPITAL DR.
Provider Second Line Business Practice Location Address:
HARRY S. TRUMAN MEMORIAL VETERANS HOSPITAL
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-814-6565
Provider Business Practice Location Address Fax Number:
573-814-6331
Provider Enumeration Date:
10/17/2005