Individual
CATHERINE EUBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2614 FORUM BLVD STE 100, COLUMBIA, MO 65203-5431
(573) 445-5366
(573) 313-3571
Mailing address
9473 ERIKA LN, NEW BLOOMFIELD, MO 65063-1941
(314) 600-0264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02496
KS
363AM0700X
Medical Physician Assistant
Primary
2023028228
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/02/2020
Last updated
08/24/2023
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