Individual
ANGELA ROSE WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
303 N KEENE ST, STE 102, COLUMBIA, MO 65201
(573) 443-0225
Mailing address
303 N KEENE ST, STE 102, COLUMBIA, MO 65201-7193
(573) 443-0225
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
2013017931
MO
Other
Enumeration date
06/17/2013
Last updated
06/25/2018
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