Individual
STEVEN DEFRODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-1119
(573) 882-2663
Mailing address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-1119
(573) 882-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD16661
RI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2021003322
MO
Other
Enumeration date
06/04/2014
Last updated
11/03/2022
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