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Individual

MR. TODD ROBERT EARHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-4400
(573) 884-5994
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2005002886
MO
363A00000X
Physician Assistant
Primary
2020018500
MO

Other

Enumeration date
04/04/2006
Last updated
09/14/2022
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