Organization
EMERGENCY PHYSICIANS OF MID MISSOURI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL E MUELLER MD (PRESIDENT PROVIDER)
(573) 445-7272
Entity
Organization
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-3573
(573) 815-6295
Mailing address
1705 N STADIUM BLVD, SUITE B, COLUMBIA, MO 65202-1305
(573) 445-7272
(573) 445-7285
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100030
ANTHEM BLUE CROSS
MO
Enumeration date
06/16/2005
Last updated
07/21/2022
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