Organization
LITTLE TREE PEDIATRIC URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WHEELER MD (OWNER)
(573) 814-1170
Entity
Organization
Contact information
Practice address
206 CORPORATE LAKE DR, COLUMBIA, MO 65203-7172
(573) 814-1170
(573) 530-1037
Mailing address
206 CORPORATE LAKE DR, COLUMBIA, MO 65203-7172
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
01/04/2023
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