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Individual

DR. SIDNEY B. BELSHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7755
(573) 761-3599
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-5191
(573) 761-3599

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
R8A86
MO
2085R0202X
Diagnostic Radiology Physician
R8A86
MO
2085U0001X
Diagnostic Ultrasound Physician
R8A86
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201831708
MO
01
P00132749
RAILROAD MEDICARE
MO
Enumeration date
01/19/2006
Last updated
03/04/2009
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