# MARK STAMPEHL, MD LLC

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

## Provider details

- **NPI number:** 1760240139
- **Authorized official:** MARK STAMPEHL MD (OWNER)
- **Authorized official phone:** (573) 305-2258

## Contact information

- **Practice address:** 4312 SILVER VALLEY DR, COLUMBIA, MO 65203-7297
- **Practice address phone:** (573) 305-2258
- **Mailing address:** 4312 SILVER VALLEY DR, COLUMBIA, MO 65203-7297
- **Mailing address phone:** (573) 305-2258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2024
- **Last updated:** 03/11/2024