Richard De Quiroz Basilan MD

NPI 1689760472 - Internal Medicine - 207R00000X

NPI Details
NPI 1689760472
Gender Male
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
ONE HOSPITAL DRIVE
COLUMBIA MO, 65212, US
Phone (573) 884-5176
Fax
Business Location
PO BOX 7687
COLUMBIA MO, 65202, US
Phone (573) 882-2259
Fax (573) 884-8526
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number 2005012151
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According to our database, Richard De Quiroz Basilan MD NPI is 1689760472, taxonomy code is 207R00000X and license number is 2005012151, license state is located at Missouri. Richard De Quiroz Basilan MD physically located at One Hospital Drive, Columbia MO, 65212. NPI Number Richard De Quiroz Basilan MD has the Individual type.

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1689760472 NPI number is provided on an as is basis without warranty of any kind. 1689760472 is maintained by the National Plan & Provider Enumeration System. The contents of Richard De Quiroz Basilan MD are for informational purposes only.