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Organization

CHRISTINA E. STIXRUD & ASSOCIATES, M.D., P.C.

Active
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Organization

CHRISTINA E. STIXRUD & ASSOCIATES, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTINA ELAINE STIXRUD IV M.D. (OWNER)
(573) 441-1000
Entity
Organization

Contact information

Practice address
1701 E BROADWAY, SUITE 203, COLUMBIA, MO 65201-8018
(573) 441-1000
(573) 441-1010
Mailing address
1701 E BROADWAY, SUITE 203, COLUMBIA, MO 65201-8018
(573) 441-1000
(573) 441-1010

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2004014283
MO
208000000X
Pediatrics Physician
2004014283
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500774500
MO
Enumeration date
09/25/2006
Last updated
12/30/2009
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