Individual
DR. ANDREA ROSE PHINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 202-2484
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 354-9000
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
2023013062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200124956
—
MO
Enumeration date
05/08/2018
Last updated
08/16/2024
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