Individual
PRUDENCE JANE BAUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
402 N KEENE ST, COLUMBIA, MO 65201-6986
(573) 882-2250
(573) 875-9500
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-8612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2003004297
MO
Other
Enumeration date
05/22/2007
Last updated
10/27/2009
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