Individual
CATHY BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
600 BLUES LAKE PKWY, ROLLA, MO 65401-8022
(573) 364-8822
(573) 341-5969
Mailing address
600 BLUES LAKE PKWY, ROLLA, MO 65401-8022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8583
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116419
HEALTHLINK
MO
05
—
240716829
—
MO
01
—
9646
BLUE CROSS BLUE SHIELD OF
MO
01
—
P00075690
RAILROAD MEDICARE
MO
Enumeration date
07/25/2006
Last updated
08/22/2019
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