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Individual

REZA AGHAEI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
619 N PROVIDENCE RD, COLUMBIA, MO 65203-4355
(573) 234-1070
Mailing address
223 N 9TH ST, COLUMBIA, MO 65201-4843
(949) 563-4255

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022037061
MO

Other

Enumeration date
09/28/2022
Last updated
09/28/2022
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