| Organization Name: | EPOCH - CENTRAL MISSOURI LIMITED LIABILITY COMPANY |
| NPI Number: | 1710383435 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE HOUSE (AUTHORIZED OFFICIAL) |
| Mailing Address: | 2900 Trimble Rd. Columbia |
| State: | MO US |
| Postal Code: | 652016465 |
| Phone Number: | 5738183067 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2014 |
| NPI Last Update Date: | 09/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |