Individual
MYRIAM CRISTINA YAFAR ENSLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 W BROADWAY, BUILDING 2 STE. A, COLUMBIA, MO 65203-3842
(573) 442-2083
Mailing address
201 W BROADWAY, BUILDING 2 STE. A, COLUMBIA, MO 65203-3842
(573) 442-2083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2003016643
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404635
UNITED HEALTHCARE
MO
01
—
180396
BLUE SHIELD/BLUE CHOICE
MO
01
—
568033
HEALTHLINK
MO
01
—
P00063573
RR MEDICARE
MO
Enumeration date
05/04/2006
Last updated
11/27/2013
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