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Contact Information

CURATORS UNIVERSITY OF MO
600 N MAIN ST
MOUNT VERNON, MO65712-1004
 Phone: 417-461-5312
 Fax: 417-461-5765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CURATORS UNIVERSITY OF MO · (Female)

NPI # 1396879961
Status Active
Credentials
Entity Individual
Enumeration date 03/15/2007
Last updated 01/14/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO Medicaid 550156103
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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