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Individual

JOHN MICHAEL ROCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-4438
Mailing address
400 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 882-4438

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2020019042
MO
208000000X
Pediatrics Physician
2020019042
MO

Other

Enumeration date
07/01/2020
Last updated
07/01/2020
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