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Individual

ROGER ANIBAL DE LA TORRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-5619
(573) 884-4611
Mailing address
5701 W 119TH ST STE 305, OVERLAND PARK, KS 66209-3721
(913) 345-6960
(913) 345-6966

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R3P10
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203050802
MO
05
203050803
MO
Enumeration date
09/20/2005
Last updated
01/04/2022
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