# COLUMBIA FAMILY MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003951062
- **Authorized official:** EVA M TRABUE (OFFICE MANAGER)
- **Authorized official phone:** (573) 446-0037

## Contact information

- **Practice address:** 303 N KEENE ST, SUITE 301, COLUMBIA, MO 65201-7193
- **Practice address phone:** (573) 449-0808
- **Practice address fax:** (573) 442-1331
- **Mailing address:** 303 N KEENE ST, SUITE 301, COLUMBIA, MO 65201-7193
- **Mailing address phone:** (573) 449-0808
- **Mailing address fax:** (573) 442-1331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 06/04/2009