Individual
DR. EBBY GEORGE VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3211 S PROVIDENCE RD, BLDG. C, COLUMBIA, MO 65203-3644
(573) 884-7100
(573) 884-7706
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2005021816
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204463202
—
MO
Enumeration date
03/08/2007
Last updated
09/12/2022
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