Organization
CENTRAL MISSOURI CARDIOVASCULAR ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLIN ERNEST BAILEY M.D. (PRESIDENT)
(573) 302-0032
Entity
Organization
Contact information
Practice address
5780 OSAGE BEACH PKWY, SUITE 200, OSAGE BEACH, MO 65065-3188
(573) 302-0032
(573) 302-0378
Mailing address
5780 OSAGE BEACH PKWY, SUITE 200, OSAGE BEACH, MO 65065-3188
(573) 302-0032
(573) 302-0378
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
105982
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207677733
—
MO
Enumeration date
02/19/2008
Last updated
09/10/2013
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