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Individual

ELIZABETH ANN HOSMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2511 W EDGEWOOD DR, STE D, JEFFERSON CITY, MO 65109-5869
(573) 761-2130
(573) 635-0726
Mailing address
PO BOX 1027, JEFFERSON CITY, MO 65102-1027
(573) 761-7246
(573) 761-6947

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4P41
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467459503
MO
Enumeration date
07/05/2005
Last updated
09/28/2012
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