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Individual

HENRY W DAVID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-6003
(573) 884-5410
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2004036764
MO
207P00000X
Emergency Medicine Physician
Primary
P0032
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111238
BLUE SHIELD/BLUE CROSS
MO
05
207190406
MO
01
701436
HEALTHLINK
MO
Enumeration date
05/04/2006
Last updated
04/20/2022
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