Individual
ROBERT J CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 882-1026
(573) 884-8876
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R9G02
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102427
HEALTHLINK
MO
01
—
127217
BLUE CHOICE
MO
01
—
1604031
UNITED HEALTHCARE
MO
01
—
2087174301
KANSAS MEDICAID
MO
Enumeration date
06/01/2006
Last updated
12/24/2007
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