Individual
COLT MOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1921
(573) 882-2568
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-2568
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
2015026454
MO
207L00000X
Anesthesiology Physician
Primary
2024019619
MO
Other
Enumeration date
09/11/2015
Last updated
06/17/2024
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