Individual
DR. EMILY DENISE FONDAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-9066
(573) 884-3037
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011012592
MO
208D00000X
General Practice Physician
2011012592
MO
208M00000X
Hospitalist Physician
Primary
2011012592
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205641103
—
MO
Enumeration date
06/27/2008
Last updated
10/08/2025
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