Missouri Vein Care, Llc

NPI 1174529739 - Phlebology - 202K00000X

NPI Details
NPI 1174529739
Enumeration Date 06/28/2005
Last Updated 04/24/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MELISSA L MELISSA
Position DIRECTOR OF OPERATIONS
Phone (573) 632-2780
Fax (573) 632-2784
Practice Location
1616 SOUTHRIDGE DRIVE
SUITE 101
JEFFERSON CITY MO, 65109, US
Phone (573) 632-2780
Fax (573) 632-2784
Business Location
1616 SOUTHRIDGE DRIVE
SUITE 101
JEFFERSON CITY MO, 65109, US
Phone (573) 632-2780
Fax (573) 632-2784
Toxanomy
Taxonomy Code 202K00000X
License State
License Number
Remove 1174529739 NPI Number
 

According to our database, Missouri Vein Care, Llc NPI is 1174529739, taxonomy code is 202K00000X Missouri Vein Care, Llc physically located at 1616 Southridge Drive, Jefferson City MO, 65109. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1174529739 NPI number is provided on an as is basis without warranty of any kind. 1174529739 is maintained by the National Plan & Provider Enumeration System. The contents of Missouri Vein Care, Llc are for informational purposes only.