Sme Utah, P.c. | |
5728 Pergola Dr Apt 207 Columbia MO 65201-2897 | |
(678) 977-5507 | |
Not Available |
Full Name | Sme Utah, P.c. |
---|---|
Speciality | General Practice |
Location | 5728 Pergola Dr Apt 207, Columbia, Missouri |
Authorized Official Name and Position | Olubusola Brimmo (OWNER) |
Authorized Official Contact | 6789775507 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sme Utah, P.c. 4321 Collington Rd Bowie MD 20716-2259 Ph: (678) 977-5507 | Sme Utah, P.c. 5728 Pergola Dr Apt 207 Columbia MO 65201-2897 Ph: (678) 977-5507 |
NPI Number | 1023577202 |
---|---|
Provider Enumeration Date | 03/18/2019 |
Last Update Date | 03/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023577202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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