Unknown Individual – Rheumatology Physician, NPI 1285682740
Rheumatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Keene Street, Edgewood, Columbia County, Georgia, 30907, United States
COLUMBIA, MO 652016625
Phone: (573) 876-1622
Fax: (573) 876-1629
Type: Mailing
Boone Clinic, 401, North Keene Street, Columbia, Boone County, Missouri, 65201, United States
COLUMBIA, MO 652016625
Phone: (573) 876-1622
Fax: (573) 876-1629
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO |
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