Organization
CENTRAL MISSOURI NEPHROLOGY ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNDER M LAL M.D. (PRESIDENT)
(573) 447-4400
Entity
Organization
Contact information
Practice address
1100 CLUB VILLAGE DR STE 102, COLUMBIA, MO 65203-4411
(573) 447-4400
(573) 303-0140
Mailing address
1100 CLUB VILLAGE DR STE 102, COLUMBIA, MO 65203-4411
(573) 447-4400
(573) 303-0140
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R2H47
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202448718
—
MO
Enumeration date
01/16/2006
Last updated
09/25/2014
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