Organization
A T STILL UNIVERSITY HEALTH SCIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONNIE HARRISON CPA (TREASURER CONTROLLERS OFFICE)
(660) 626-2325
Entity
Organization
Contact information
Practice address
500 S OSTEOPATHY, KIRKSVILLE, MO 63501
(660) 626-2136
(660) 626-2457
Mailing address
800 W JEFFERSON, KIRKSVILLE, MO 63501
(660) 626-2136
(660) 626-2434
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
117553
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2004028645
MO
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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