Most Relevant Information
Provider Data
| NPI Number: | 1003490970 |
| Provider Name: | CHRISTIAN DE SOUZA DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2021 |
| Last Updated: | 07/02/2024 |
Provider Practice Location
1 HOSPITAL DR # DC043.00
COLUMBIA
MO
652121000
Practice Location Phone/Fax
| Phone: | 5738848016 |
| Fax: |
Provider Mailing Location
1 HOSPITAL DR # DC043.00
COLUMBIA
MO
652121000
Provider Mailing Phone/Fax
| Phone: | 5738848016 |
| Fax: |