Individual
ABBY CREDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
308 S CHURCH ST, FAYETTE, MO 65248-1243
(660) 642-5911
(660) 248-3450
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-6970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024023602
MO
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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