Organization
TIM SONCASIE INTERNAL MEDICINE AT BOONE CLINIC, LLC
Active
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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