Individual
DR. JAMES S. DENNINGHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 E BROADWAY, SUITE 304, COLUMBIA, MO 65201-8018
(573) 815-0662
(573) 443-1162
Mailing address
1701 E BROADWAY, SUITE 304, COLUMBIA, MO 65201-8018
(573) 815-0662
(573) 443-1162
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36275
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202330700
—
MO
Enumeration date
09/15/2005
Last updated
05/24/2016
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