Organization
CMC COMO LLC
Active
Other names
Core Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASTON GOLDSWORTHY DC, FNP-BC (CEO)
(512) 866-3512
Entity
Organization
Contact information
Practice address
305 N KEENE ST STE 105A, COLUMBIA, MO 65201-6897
(512) 866-3512
(816) 229-7085
Mailing address
8809 SE 1ST ST, LEES SUMMIT, MO 64064-7858
(512) 866-3512
(816) 229-7085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
09/19/2024
Last updated
11/15/2024
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