Individual
DR. DENICIA SHANE DWARICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 N KEENE ST, COLUMBIA, MO 65201-8105
(573) 817-3365
(573) 875-9250
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2019017107
MO
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
2019017107
MO
Other
Enumeration date
04/09/2012
Last updated
04/02/2026
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