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Organization

TO YOUR HEALTH MEDICAL CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABDOULAYE BAH (DIRECTOR OF OPERATIONS)
(573) 445-3430
Entity
Organization

Contact information

Practice address
2614 FORUM BOULEVARD, SUITE 100, COLUMBIA, MO 65203
(573) 445-3430
(573) 445-3460
Mailing address
2614 FORUM BOULEVARD, SUITE 100, COLUMBIA, MO 65203
(573) 445-3430
(573) 445-3460

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000161132
MO

Other

Enumeration date
12/09/2008
Last updated
06/12/2009
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