Organization
UNIVERSITY OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA SPURLING (PROVIDER ENROLLMENT)
(573) 884-3019
Entity
Organization
Contact information
Practice address
1100 VIRGININA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
Mailing address
1100 VIRGININA AVE, COLUMBIA, MO 65212-0001
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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