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Individual

GEORGE L KISTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 S FAIRVIEW RD, COLUMBIA, MO 65203-7637
(573) 884-7600
(573) 884-8200
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R3J25
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110045597
RAILROAD MEDICARE
MO
05
203209101
MO
Enumeration date
09/26/2005
Last updated
03/07/2023
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