Organization
MID MISSOURI HAND & ORTHOPEDIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER W CAMERON D.O. (OWNER)
(573) 632-4263
Entity
Organization
Contact information
Practice address
1433 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2429
(573) 632-4263
(573) 632-6529
Mailing address
1433 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2429
(573) 632-4263
(573) 632-6529
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R8786
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200032999
RAILROAD MEDICARE
MO
05
—
241975715
—
MO
Enumeration date
10/19/2006
Last updated
06/16/2008
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