Individual
YAK NAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 884-1255
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 884-1255
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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