Individual provider · Type 1 NPI

Maria Gail Sunico Tacazon, MD

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

NPI number 1649471822 Active

Practice location

1021 Ashland Rd Apt 406
Columbia, MO 65201-7579

Call (408) 772-7450 Map

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 1649471822

Maria Gail Sunico Tacazon, MD's National Provider Identifier is 1649471822, issued on May 29, 2007. 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 Jul 8, 2007.