Individual
PAUL WILLIAM SCHOEPHOERSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 E BROADWAY STE 110, COLUMBIA, MO 65201-8023
(573) 815-8130
(573) 815-8149
Mailing address
1605 E BROADWAY STE 110, COLUMBIA, MO 65201-8023
(573) 815-8130
(573) 815-8149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDR4N39
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080115889
RAILROAD MEDICARE
MO
05
—
203320007
—
MO
01
—
P00415756
RAILROAD MEDICARE
MO
Enumeration date
05/18/2006
Last updated
01/22/2020
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