Clarence Eugene Ridenhour M.D. MO LICENSE 2913

NPI 1811269541 - Surgery - 208600000X

NPI Details
NPI 1811269541
Gender Male
Enumeration Date 01/26/2012
Last Updated 01/26/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
801 S CEDAR GROVE BLVD
COLUMBIA MO, 65201-8706, US
Phone (573) 442-8613
Fax
Business Location
801 S CEDAR GROVE BLVD
COLUMBIA MO, 65201-8706, US
Phone (573) 442-8613
Fax
Toxanomy
Taxonomy Code 208600000X
License State Missouri
License Number 29132
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According to our database, Dr. Clarence Eugene Ridenhour M.D. MO LICENSE 2913 NPI is 1811269541, taxonomy code is 208600000X and license number is 29132, license state is located at Missouri. Clarence Eugene Ridenhour M.D. MO LICENSE 2913 physically located at 801 S Cedar Grove Blvd, Columbia MO, 65201-8706. NPI Number Clarence Eugene Ridenhour M.D. MO LICENSE 2913 has the Individual type.

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1811269541 NPI number is provided on an as is basis without warranty of any kind. 1811269541 is maintained by the National Plan & Provider Enumeration System. The contents of Clarence Eugene Ridenhour M.D. MO LICENSE 2913 are for informational purposes only.