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Individual

CALVIN SOLOMON TAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MB,BCH,BAO

Contact information

Practice address
551 E SOUTHAMPTON DR, COLUMBIA, MO 65201-4236
(573) 884-7733
(573) 882-6228
Mailing address
1 HOSPITAL DR, MA303, DC032.00, COLUMBIA, MO 65212-1000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016026589
MO

Other

Enumeration date
07/25/2016
Last updated
12/26/2017
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