Individual
RALPH LOKKE HEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
STUDENT HEALTH CTR, 1101 HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 882-7481
Mailing address
STUDENT HEALTH CTR, 1101 HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 882-7481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005013488
MO
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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