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Individual

DR. MICHAEL S SHOEMAKER-MOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 HOSPITAL DR, CE 427, COLUMBIA, MO 65212-1000
(573) 882-7991
(753) 884-4820
Mailing address
1 HOSPITAL DR, CE 427, COLUMBIA, MO 65212-1000
(573) 882-7991
(753) 884-4820

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101251686
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376563510
VA
Enumeration date
07/20/2006
Last updated
09/12/2022
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