Individual
SARAH ELIZABETH SEVERANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 E BROADWAY STE 350, COLUMBIA, MO 65201-8019
(573) 815-2970
(573) 815-2975
Mailing address
1601 E BROADWAY STE 350, COLUMBIA, MO 65201-8019
(573) 815-2970
(573) 815-2975
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2022017694
MO
390200000X
Student in an Organized Health Care Education/Training Program
11018230A
IN
Other
Enumeration date
06/02/2015
Last updated
05/03/2024
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