Whalio Doctors

NPI 1689647380

Richard Sidlow, MD

Practitioner Clinical Genetics (M.D.) Physician Columbia, MO

Practice location

Address
1020 Hitt St, Columbia, MO 65212-0001
Phone
(573) 882-6921
Fax
(573) 882-1154
Mailing address
PO Box 843966, Kansas City, MO 64184-3966

Registered specialties (4)

Clinical Genetics (M.D.) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 2023017776 (MO)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 205196 (NY)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence A170253 (CA)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2023017776 (MO)

Registry record

NPI
1689647380
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Feb 2006
Record last updated
20 May 2024

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.