Unknown Individual – Vascular & Interventional Radiology Physician, NPI 1821085812
Vascular & Interventional Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1502, East Broadway, Columbia, Columbia Township, Boone County, Missouri, 65201, United States
SUITE 210
COLUMBIA, MO 652018076
Phone: (573) 443-4591
Fax: (573) 874-1369
Mailing address matches the actual address.
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)
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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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