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NPI Code Detail

MEDICARE: DR. MELISSA VIRGINIA TERRY M.D.

MEDICARE: DR. MELISSA VIRGINIA TERRY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMD00041661WA
2207V00000XObstetrics & Gynecology Physician2015019914MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144264326
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA VIRGINIA TERRY M.D.
Provider Business Mailing Address
First Line : PO BOX 843966
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-3966
Country : US
Telephone Number : 573-884-3300
Fax Number : 573-884-0943
Provider Business Practice Location Address
First Line : 7115 E SAINT CHARLES RD
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-0196
Country : US
Telephone Number : 573-884-6851
Fax Number : 573-884-0293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 04/04/2023

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