Individual
DR. FRANK ANTHONY DIVINCENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 TRIMBLE RD STE 107, COLUMBIA, MO 65201-7180
(573) 818-3067
Mailing address
5227 E HIGHWAY 163, COLUMBIA, MO 65201-9567
(573) 268-3500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
102906
MO
Other
Enumeration date
11/20/2006
Last updated
01/05/2018
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