Individual
TYSON VANDAGRIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DEPARTMENT OF ANESTHESIOLOGY, ONE HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 884-3466
Mailing address
DEPARTMENT OF ANESTHESIOLOGY, ONE HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 884-3466
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2012017831
MO
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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