# COMO CUBS PEDIATRICS

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

## Provider details

- **NPI number:** 1447629829
- **Authorized official:** MEGAN HARMON (BUSINESS MANAGER)
- **Authorized official phone:** (573) 443-0937

## Contact information

- **Practice address:** 201 W BROADWAY, SUITE 4A, COLUMBIA, MO 65203
- **Practice address phone:** (573) 443-0937
- **Practice address fax:** (573) 875-7948
- **Mailing address:** 201 W BROADWAY, SUITE 4A, COLUMBIA, MO 65203-3842
- **Mailing address phone:** (573) 443-0937
- **Mailing address fax:** (573) 875-7948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2010027808 | MO | Yes |

## Other

- **Enumeration date:** 09/16/2015
- **Last updated:** 09/16/2015