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Individual

DR. CARL EDWARD GIACCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2010017670
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2014008383
MO

Other

Enumeration date
05/04/2011
Last updated
06/24/2014
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