NPI 1275106650

Clayton Reece Burgoon, RRA

Practitioner Radiology Practitioner Assistant Columbia, MO

Practice location

Address: 1 Hospital Dr, Columbia, MO 65201-5276
Phone: (573) 882-4141
Mailing address: 4104 Citation Dr, Columbia, MO 65202-4514

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence MRA02000029 (TX)

Other Radiology Practitioner Assistant providers in Missouri →

Registry record

NPI: 1275106650
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2021
Record last updated: 22 Jul 2021

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.