Most Relevant Information
Provider Data
| NPI Number: | 1003525999 |
| Provider Name: | ELJESA HYSENI PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/18/2022 |
| Last Updated: | 11/18/2022 |
Provider Practice Location
1200 E BROADWAY
COLUMBIA
MO
652151000
Practice Location Phone/Fax
| Phone: | 5734415107 |
| Fax: |
Provider Mailing Location
1200 E BROADWAY
COLUMBIA
MO
652151000
Provider Mailing Phone/Fax
| Phone: | 5734415107 |
| Fax: |