Organization
GYNECOLOGY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA E CROWDER MD (SOLE MBR)
(573) 442-2221
Entity
Organization
Contact information
Practice address
1605 E BROADWAY STE 260, COLUMBIA, MO 65201-8044
(573) 442-2221
(573) 449-8646
Mailing address
1605 E BROADWAY STE 260, COLUMBIA, MO 65201-8044
(573) 442-2221
(573) 449-8646
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205887912
—
MO
Enumeration date
06/12/2019
Last updated
07/11/2019
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