Individual
JUDITH VICTORIA OVALLE ABUABARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 CORPORATE LAKE DR, COLUMBIA, MO 65203-7170
(573) 442-1690
(573) 442-1804
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2523
(816) 285-6923
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2011030848
MO
2084P0804X
Child & Adolescent Psychiatry Physician
4301099593
MI
Other
Enumeration date
08/31/2006
Last updated
10/25/2016
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