Individual
JORDAN WALTER CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-2568
(573) 882-2226
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-2568
(573) 882-2226
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2021020576
MO
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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