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Individual

JOHN CLEEK III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-7901
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-7901

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023016867
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2024020339
MO

Other

Enumeration date
06/27/2023
Last updated
06/26/2024
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