Individual
LEVI NATHAN GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2020014929
MO
207X00000X
Orthopaedic Surgery Physician
57010712
OH
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
2020014929
MO
Other
Enumeration date
05/25/2007
Last updated
09/14/2022
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