Individual
RANDALL C FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 KEENE ST, SUITE 406, COLUMBIA, MO 65201-8104
(573) 499-6041
(573) 499-6091
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD108201
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207983107
—
MO
01
—
2086350201
KANSAS MEDICAID
KS
01
—
272468
HEALTHLINK
MO
01
—
5574
BLUE SHIELD/BLUE CHOICE
MO
01
—
7409028
UNITED HEALTHCARE
MO
Enumeration date
05/03/2006
Last updated
06/17/2010
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