NPI 1063739159

Plastic and Reconstructive Surgery of Mid-Missouri, INC

Organisation Plastic Surgery Physician Columbia, MO

Practice location

Address: 1701 E Broadway Suite 304, Columbia, MO 65201-8018
Phone: (573) 876-1700
Fax: (573) 876-1705

Authorised official

Name: Richard Royer
Title: Administrator
Phone: (573) 777-1191

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence R5577 (MO)

Other Plastic Surgery providers in Missouri →

Registry record

NPI: 1063739159
Entity type: Organization
NPI issued: 28 Apr 2010
Record last updated: 28 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.