Individual
CATHERINE M VANVOORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2101 CORONA RD STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
Mailing address
2101 CORONA RD STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
36320
MO
207R00000X
Internal Medicine Physician
Primary
36320
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
36320
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203703400
—
MO
Enumeration date
02/23/2006
Last updated
06/21/2023
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