Organization · NPI-2

Advanced Senior Care Of Missouri INC

Internal Medicine · Columbia, MO

NPI number1245087295
StatusActive
Last updated in NPPESNov 12, 2024

Details

NPI
1245087295
Entity type
Organization (NPI-2)
Legal business name
Advanced Senior Care Of Missouri INC
Organization subpart
No
Enumeration date
May 6, 2024
Certification date
Nov 12, 2024
Last updated
Nov 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207Q00000X Family Medicine––

Other names

  • Advanced Senior Care (Doing Business As)

Practice location

910 N College Ave Ste 4
Columbia, MO 65201-4797

Phone 636-642-1215 · Fax 573-234-4799

Mailing address

910 N College Ave Ste 4
Columbia, MO 65201-4797

Phone 636-642-1215 · Fax 573-234-4799

Authorized official

Bradley Beaird
Owner
6366421215

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