Provider First Line Business Practice Location Address:
ONE HOSPITAL DRIVE, DCO75.00, MC424
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MISSOURI, DEPARTMENT OF SURGERY
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-884-2000
Provider Business Practice Location Address Fax Number:
573-884-6024
Provider Enumeration Date:
06/29/2012