Provider Demographics
NPI:1083027205
Name:DARBY, MICHAEL L (CP)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:L
Last Name:DARBY
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3407 BERRYWOOD DR STE 203
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6500
Mailing Address - Country:US
Mailing Address - Phone:573-777-4701
Mailing Address - Fax:573-777-4702
Practice Address - Street 1:3407 BERRYWOOD DR STE 203
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6500
Practice Address - Country:US
Practice Address - Phone:573-777-4701
Practice Address - Fax:573-777-4702
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist