Individual
DENA CATHERINE DIMACHKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7115 E SAINT CHARLES RD, COLUMBIA, MO 65202-0196
(573) 884-6851
(573) 884-0293
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022005470
MO
Other
Enumeration date
04/06/2022
Last updated
07/11/2022
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