Individual
MARY S MUSCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1705 E BROADWAY, SUITE 100, COLUMBIA, MO 65201-5852
(573) 874-7800
(573) 443-3627
Mailing address
1705 E BROADWAY, SUITE 100, COLUMBIA, MO 65201-5852
(573) 874-7800
(573) 443-3627
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
R7B63
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106097
BCBS OF MO
—
01
—
118061
HEALTHLINK
—
05
—
201595618
—
MO
01
—
27355
GHP
—
01
—
3000018
UNITED HEALTHCARE
—
01
—
5132415
AETNA
—
01
—
65201A006
TRICARE
—
01
—
A13424
MERCY HEALTH PLANS
—
Enumeration date
09/29/2005
Last updated
10/10/2008
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