NPI: 1760893259
Provider Name: BOONE PHYSICIAN SERVICES, LLC
Former Legal Business Name: CHAS CARDIOLOGY SERVICES, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization
Specialization: Multi-Specialty
Address:
1600 E BROADWAY
COLUMBIA, MO
ZIP 65201
Phone: (573) 815-6245
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BOONE PHYSICIAN SERVICES, LLC is a multi-specialty clinic center in Columbia, MO. BOONE PHYSICIAN SERVICES, LLC NPI is 1760893259. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Chas Cardiology Services, Llc.
The provider's business location address is:
1600 E BROADWAY
COLUMBIA, MO
ZIP 65201-844
Phone: (573) 815-6245
Fax: (573) 815-8556
The provider's authorized official is Brian Lee Winn .
The authorized official title is Director Of Finance and has the following contact phone number (573) 815-3269.
The enumeration date for this NPI number is 5/19/2014 and was last updated on 3/15/2021.