Individual provider · Type 1 NPI

James Daniel Dimitroff

Student in an Organized Health Care Education/Training Program · Columbia, MO

NPI number 1477409803 Active

Practice location

7 Hospital Dr
Columbia, MO 65212-0001

Mailing address

7 Hospital Dr
Columbia, MO 65215-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477409803

James Daniel Dimitroff's National Provider Identifier is 1477409803, issued on Mar 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, MO. The record was last updated on Mar 9, 2026.