Organization
CENTRAL MISSOURI CARDIOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARLA G QUALLS RN (PRACTICE MANAGER)
(573) 636-0635
Entity
Organization
Contact information
Practice address
3501 A WEST TRUMAN BLVD, JEFFERSON CITY, MO 65109
(573) 636-0635
(573) 659-4685
Mailing address
3501 A WEST TRUMAN BLVD, JEFFERSON CITY, MO 65109
(573) 636-0635
(573) 659-4685
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504645102
—
MO
Enumeration date
06/15/2006
Last updated
06/27/2008
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