Individual
AARON MATTHEW CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
3 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-2511
(573) 884-4515
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
2021006392
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220094050
—
MO
Enumeration date
04/03/2020
Last updated
10/05/2022
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