Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Plastic and Reconstructive Surgery of Mid-Missouri, Inc

Organization Plastic Surgery Physician · NPI 1063739159

Plastic and Reconstructive Surgery of Mid-Missouri, Inc is a Plastic Surgery Physician in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 E Broadway Ste 304
Columbia, MO 65201-8018
Phone: (573) 876-1700
Fax: (573) 876-1705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence R5577 (MO)

Record details

NPI number1063739159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Royer — Administrator · (573) 777-1191
NPI enumeratedApril 28, 2010
Last updated in NPPESApril 28, 2010
Mailing address1701 E Broadway, Suite 304, Columbia, MO 65201-8018

Other providers in Columbia