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JOSEPH LOREN REEVES-VIETS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(573) 882-2226
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2010014083
MO
207L00000X
Anesthesiology Physician
G8765
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136068701
TX
Enumeration date
10/17/2006
Last updated
05/02/2011
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