Organization
PROVIDENCE URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT SCHULTZ MD (PARTNER)
(573) 874-6824
Entity
Organization
Contact information
Practice address
202 E NIFONG BLVD, COLUMBIA, MO 65203-3759
(573) 874-6824
(573) 874-6825
Mailing address
202 E NIFONG BLVD, COLUMBIA, MO 65203-3759
(573) 874-6824
(573) 874-6825
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
LC0901920
MO
Other
Enumeration date
09/04/2008
Last updated
08/14/2009
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