Individual
ROBERT C FOLZENLOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 E RIDGELEY RD, COLUMBIA, MO 65203-3528
(303) 518-0568
Mailing address
10 E RIDGELEY RD, COLUMBIA, MO 65203-3528
(303) 518-0568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
113999
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132733
BLUE SHIELD/BLUE CHOICE
MO
05
—
201318607
—
MO
01
—
448126
HEALTHLINK
MO
Enumeration date
07/10/2006
Last updated
12/03/2012
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