| Innate Health And Wellness | |
|
203 N Providence Rd Ste 201 Columbia MO 65203-4192 | |
| (573) 268-5101 | |
| Not Available |
| Full Name | Innate Health And Wellness |
|---|---|
| Speciality | Clinic/center |
| Location | 203 N Providence Rd Ste 201, Columbia, Missouri |
| Authorized Official Name and Position | Nicholas Hagan (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5732685101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innate Health And Wellness 203 N Providence Rd Ste 201 Columbia MO 65203-4192 Ph: () - | Innate Health And Wellness 203 N Providence Rd Ste 201 Columbia MO 65203-4192 Ph: (573) 268-5101 |
| NPI Number | 1104461029 |
|---|---|
| Provider Enumeration Date | 11/14/2019 |
| Last Update Date | 11/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104461029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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