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Individual

DR. LAURA TERESA WITHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 HOSPITAL DR, DDEPARTMENT OF FAMILT MEDICINE, COLUMBIA, MO 65212-1000
(573) 884-7060
Mailing address
3500 S. SCOTT BLVD, 12B, COLUMBIA, MO 65203
(917) 650-5408

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
2025045730
MO
208600000X
Surgery Physician
Primary
002800501
ME
208600000X
Surgery Physician
602330543
WA
2086S0102X
Surgical Critical Care Physician
ME102332
FL
2086S0127X
Trauma Surgery Physician
602330543
WA

Other

Enumeration date
03/31/2008
Last updated
11/19/2025
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