BIG TREE MEDICAL GROUP LLC NPI 1740858562

NPI Information

BIG TREE MEDICAL GROUP LLC is a family medicine in Columbia, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BIG TREE MEDICAL GROUP LLC NPI is 1740858562. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Big Tree Medical Home.

The provider's business location address is:

200 CORPORATE LAKE DR
COLUMBIA, MO
ZIP 65203-172
Phone: (573) 814-1170

The provider's authorized official is Adam Wheeler .
The authorized official title is Ceo and has the following contact phone number (573) 673-5770.

The CLIA number assigned to this NPI record is 42D2291117 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 1/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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