Individual
EDOUARD OUDIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOSPITAL DR # MA314, COLUMBIA, MO 65212-1000
(573) 882-7935
Mailing address
1 HOSPITAL DR # MA314, COLUMBIA, MO 65212-1000
(573) 882-7935
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2019022007
MO
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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