Broadway Internal Medicine Associates L.l.c.

NPI 1336106426 - Internal Medicine - 207R00000X

NPI Details
NPI 1336106426
Enumeration Date 05/01/2006
Last Updated 06/25/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DOUGLAS EUGENE DOUGLAS
Position OWNER/PHYSICIAN
Phone (573) 442-0320
Fax (573) 442-0421
Practice Location
204 N KEENE ST
SUITE 100
COLUMBIA MO, 65201-8102, US
Phone (573) 442-0320
Fax (573) 442-0421
Business Location
204 N KEENE ST
SUITE 100
COLUMBIA MO, 65201-8102, US
Phone (573) 442-0320
Fax (573) 442-0421
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
Remove 1336106426 NPI Number
 

According to our database, Broadway Internal Medicine Associates L.l.c. NPI is 1336106426, taxonomy code is 207R00000X Broadway Internal Medicine Associates L.l.c. physically located at 204 N Keene St, Columbia MO, 65201-8102. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1336106426 NPI number is provided on an as is basis without warranty of any kind. 1336106426 is maintained by the National Plan & Provider Enumeration System. The contents of Broadway Internal Medicine Associates L.l.c. are for informational purposes only.