Healthcare Provider Details

I. General information

NPI: 1336925692
Provider Name (Legal Business Name): WAYNE HOSKINS MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2023
Last Update Date: 09/04/2023
Certification Date: 09/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY HOSPITAL
COLUMBIA MO
65212-0001
US

IV. Provider business mailing address

1007 E BROADWAY APT 305
COLUMBIA MO
65201-5230
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-4141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number2023025292
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: