Organization
COLUMBIA GASTROENTEROLOGY & LIVER ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D. KING MD (PHYSICIAN)
(573) 449-8680
Entity
Organization
Contact information
Practice address
1605 E BROADWAY, SUITE 250, COLUMBIA, MO 65201-8023
(573) 449-8680
(573) 449-8684
Mailing address
1605 E BROADWAY, STE 250, COLUMBIA, MO 65201-8023
(573) 449-8680
(573) 449-8684
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126589
HEALTHLINK
MO
01
—
1732416
FIRST HEALTH
MO
01
—
194002
BLUE CROSS BLUE SHIELD
MO
01
—
228719
GROUP HEALTH PLANS
MO
01
—
3089254005
CIGNA
MO
01
—
4206923
AETNA
MO
01
—
514183
PRIVATE HEALTH CARE SYS.
MO
01
—
TRICARE
TRICARE
MO
Enumeration date
05/08/2006
Last updated
08/22/2020
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