Individual
DR. DENNIS L. LIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
305 N KEENE ST, SUITE 209, COLUMBIA, MO 65201-6897
(573) 449-5957
(573) 449-5886
Mailing address
305 N KEENE ST, SUITE 209, COLUMBIA, MO 65201-6897
(573) 449-5957
(573) 449-5886
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000404
MO
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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