Organization
COMO CUBS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN HARMON (BUSINESS MANAGER)
(573) 443-0937
Entity
Organization
Contact information
Practice address
201 W BROADWAY, SUITE 4A, COLUMBIA, MO 65203
(573) 443-0937
(573) 875-7948
Mailing address
201 W BROADWAY, SUITE 4A, COLUMBIA, MO 65203-3842
(573) 443-0937
(573) 875-7948
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2010027808
MO
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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