Organization
TIM SONCASIE INTERNAL MEDICINE AT BOONE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SONCASIE MD (PRESIDENT)
(573) 876-1660
Entity
Organization
Contact information
Practice address
401 N KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1665
(573) 874-0665
Mailing address
401 N KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1660
(573) 874-0665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
111504
MO
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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