Organization
COLUMBIA ORTHOPAEDIC GROUP, LLP
Active
Parent organization
COLUMBIA ORTHOPAEDIC GROUP, LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBIA ORTHOPAEDIC GROUP, LLP
Authorized official
KIM MARSHALL (CREDENTIALING SPECIALIST)
(573) 443-2402
Entity
Organization
Contact information
Practice address
1075 NICHOLS RD UNIT 2, OSAGE BEACH, MO 65065-3094
(573) 443-2402
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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