Healthcare Provider Details

I. General information

NPI: 1093079691
Provider Name (Legal Business Name): AMBER MICHELLE OROS D.O., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2012
Last Update Date: 06/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR STE M562
COLUMBIA MO
65212
US

IV. Provider business mailing address

1 HOSPITAL DR STE M562
COLUMBIA MO
65212-1000
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-3233
  • Fax:
Mailing address:
  • Phone: 573-884-3233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number20A13200
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2019022765
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: