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Individual

DR. PATRICE DELAFONTAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 884-3278
(573) 884-3221
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
15231R
LA
207RC0000X
Cardiovascular Disease Physician
Primary
2015009562
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174939
LA
Enumeration date
08/19/2006
Last updated
05/09/2019
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