Provider First Line Business Practice Location Address:
UNIVERSITY OF MISSOURI HOSPITAL 1 HOSPITAL DR DC032.00
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65212-5822
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-882-2100
Provider Business Practice Location Address Fax Number:
573-884-6109
Provider Enumeration Date:
09/02/2006