Provider Demographics
NPI:1790051050
Name:THE CURATORS OF THE UNIVERSITY OF MISSOURI
Entity Type:Organization
Organization Name:THE CURATORS OF THE UNIVERSITY OF MISSOURI
Other - Org Name:MISSOURI UNIVERSITY OF SCIENCE AND TECHNOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:CHANCELLOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHRADER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:573-341-4116
Mailing Address - Street 1:910 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65409-0760
Mailing Address - Country:US
Mailing Address - Phone:573-341-4284
Mailing Address - Fax:573-341-6967
Practice Address - Street 1:910 W 10TH ST
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65409-0760
Practice Address - Country:US
Practice Address - Phone:573-341-4284
Practice Address - Fax:573-341-6967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health