Individual
RICHARD HILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 N KEENE ST, STE 101, COLUMBIA, MO 65201-6986
(573) 882-6921
(573) 882-1154
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
R4366
MO
208000000X
Pediatrics Physician
Primary
R4366
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200631711
—
MO
01
—
6190 & 127403
BLUE SHIELD/BLUE CHOICE
MO
01
—
7504015
UNITED HEALTHCARE
MO
Enumeration date
05/27/2006
Last updated
08/16/2011
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