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Individual

JENA L RORVIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 876-8417
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 876-8417

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001223A
IN
363A00000X
Physician Assistant
Primary
2014036816
MO
363A00000X
Physician Assistant
T-00770
KS

Other

Enumeration date
09/01/2006
Last updated
12/05/2014
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