Cole Physician Services Llc

NPI 1144578659 - Physician Assistant - 363A00000X

NPI Details
NPI 1144578659
Enumeration Date 08/15/2012
Last Updated 01/14/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LISHA C LISHA
Position VP OF CONTRACTING
Phone (800) 893-9698
Fax
Practice Location
100 ST. MARY'S MEDICAL PLAZA
JEFFERSON CITY MO, 65101, US
Phone (800) 893-9698
Fax
Business Location
200 CORPORATE BLVD
LAFAYETTE LA, 70508-3870, US
Phone (800) 893-9698
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Cole Physician Services Llc NPI is 1144578659, taxonomy code is 363A00000X Cole Physician Services Llc physically located at 100 St. Mary's Medical Plaza, Jefferson City MO, 65101. NPI Number 1033115704 has the healthcare provider type.

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1144578659 NPI number is provided on an as is basis without warranty of any kind. 1144578659 is maintained by the National Plan & Provider Enumeration System. The contents of Cole Physician Services Llc are for informational purposes only.