Individual
DR. NICK JONES MCHARGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 BROADWAY BUSINESS PARK COURT, STE. C, COLUMBIA, MO 65203
(573) 445-3630
(573) 445-3631
Mailing address
2308 BERRYVIEW CT., COLUMBIA, MO 65203
(573) 446-0956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015915
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127077
BLUECROSS BLUESHIELD
MO
01
—
9178927
HEATHCARE USA
MO
01
—
977525
UNITED CONCORDIA
MO
Enumeration date
08/17/2006
Last updated
07/08/2007
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