Organization
COLUMBIA SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN R CRAIG (CREDENTIALING)
(573) 443-8773
Entity
Organization
Contact information
Practice address
3220 BLUFF CREEK DRIVE, SUITE 100, COLUMBIA, MO 65201-3525
(573) 443-8775
(573) 443-6843
Mailing address
3220 BLUFF CREEK DRIVE, SUITE 100, COLUMBIA, MO 65201-3525
(573) 443-8775
(573) 443-6843
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500457700
—
MO
Enumeration date
05/11/2006
Last updated
12/29/2011
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