Provider First Line Business Practice Location Address:
1601 E BROADWAY
Provider Second Line Business Practice Location Address:
WOMEN'S HEALTH ASSOCIATES, INC.
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65201-8020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-443-8796
Provider Business Practice Location Address Fax Number:
573-875-3943
Provider Enumeration Date:
07/28/2005