Individual
DR. VERA MIKHAILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 W 10TH ST, SUITE 175, ROLLA, MO 65401-2937
(573) 341-9163
(573) 368-4248
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2002027391
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208413708
—
MO
Enumeration date
01/30/2007
Last updated
05/09/2013
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