Individual
DR. TILLMANN CYRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-2296
(573) 884-7743
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004010829
MO
207RC0000X
Cardiovascular Disease Physician
Primary
2004010829
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200301703
—
MO
Enumeration date
05/14/2007
Last updated
10/15/2012
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