Individual
PHYO THAZIN MYINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOSPITAL DR # DC116.71, COLUMBIA, MO 65212-1619
(573) 882-0598
Mailing address
1101 SHADOW HAWK CT, COLUMBIA, MO 65201-8279
(831) 239-1801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036149087
IL
207R00000X
Internal Medicine Physician
282176
MA
207RH0003X
Hematology & Oncology Physician
Primary
2023017302
MO
208M00000X
Hospitalist Physician
282176
MA
Other
Enumeration date
07/11/2016
Last updated
06/20/2023
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