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Organization
NEPHROLOGY AND HYPERTENSION ASSOCIATES
Active
Organization
NEPHROLOGY AND HYPERTENSION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA S DODGE MBA (PRACTICE ADMINISTRATOR)
(573) 499-0642
Entity
Organization
Contact information
Practice address
1205 W BROADWAY, COLUMBIA, MO 65203-2125
(573) 499-0642
(573) 449-1787
Mailing address
1205 W BROADWAY, COLUMBIA, MO 65203-2125
(573) 449-4936
(573) 449-6795
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507480226
—
MO
01
—
CH1443
RAILROAD MEDICARE
MO
Enumeration date
06/27/2005
Last updated
10/31/2023
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