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Individual

DR. RICHARD M. WOLKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
305 N KEENE ST, SUITE 105, COLUMBIA, MO 65201-6897
(573) 442-2299
(573) 442-1409
Mailing address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2000

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
108975
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208000224
MO
Enumeration date
09/06/2005
Last updated
04/14/2021
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