Individual
DAVID M CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3870 COLUMBIA AVE, OSAGE BEACH, MO 65065-8689
(573) 302-7490
(573) 302-7895
Mailing address
PO BOX 777, RICHLAND, MO 65556-0777
(573) 708-7600
(573) 723-1474
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2023010485
MO
207V00000X
Obstetrics & Gynecology Physician
4283
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366433419
—
MO
05
—
951021
—
AZ
Enumeration date
10/28/2005
Last updated
05/08/2023
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