Individual
MR. LOUIS S VINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(573) 882-2226
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
079997
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918913948
—
MO
Enumeration date
08/11/2005
Last updated
09/12/2022
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