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Organization

COLUMBIA ORTHOPAEDIC GROUP, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW LOVEWELL (CEO)
(573) 876-8668
Entity
Organization

Contact information

Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
363AS0400X
Surgical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0524940001
MO
Enumeration date
08/03/2005
Last updated
04/27/2023
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