Organization
MID MISSOURI NEUROSURGERY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES P BONDURANT MD (SENIOR PARTNER)
(573) 443-2355
Entity
Organization
Contact information
Practice address
1605 E BROADWAY, SUITE 100, COLUMBIA, MO 65201-8023
(573) 443-2355
(573) 874-3025
Mailing address
1605 E BROADWAY, SUITE 100, COLUMBIA, MO 65201-8023
(573) 443-2355
(573) 874-3025
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
08/22/2020
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