Organization
JUAN J. PINEDA, P.C.
Active
Other names
Juan J. Pineda, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL LYNN HAYNIE (OFFICE MANAGER)
(573) 445-9764
Entity
Organization
Contact information
Practice address
3300 VAWTER SCHOOL RD, COLUMBIA, MO 65203-8609
(573) 445-9764
Mailing address
3300 VAWTER SCHOOL RD, COLUMBIA, MO 65203-8609
(573) 445-9764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R3P42
MO
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206996613
—
MO
01
—
DG1835
RAILROAD MEDICARE
MO
Enumeration date
03/08/2007
Last updated
11/10/2021
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