Individual
MR. EL HACEN VALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8040
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024026879
MO
208M00000X
Hospitalist Physician
Primary
2024026879
MO
Other
Enumeration date
06/22/2021
Last updated
07/16/2024
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