Individual
DR. SIDNEY ALLEN RHEA CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2101 CORONA RD, STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
(573) 234-1799
Mailing address
2101 CORONA RD, STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
(573) 234-1799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9D24
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10867027
BCBSKC PROVIDER
MO
01
—
1104829282
COMMUNITY HEALTH PLAN
MO
05
—
242095230
—
MO
01
—
268352
COVENTRY HEALTHCARE OF KC
MO
01
—
300200
FAMILY HEALTH PARTNERS
MO
01
—
45797
FIRST HEALTH
MO
01
—
5824126001
CIGNA
MO
01
—
710918160
GREAT WEST HEALTHPLANS
MO
Enumeration date
05/23/2005
Last updated
12/05/2022
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