Individual
ALICIA CARYN BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 882-3961
(573) 884-4277
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2018009380
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062622
—
MO
Enumeration date
05/01/2015
Last updated
08/16/2022
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