Individual ProviderJohn CleekRadiologyAllopathic & Osteopathic PhysiciansPractice Address1 Hospital Dr, Columbia, MO 65212-1000(573) 882-7901PECOS EnrollmentBased on the most recent information from CMS, provider John Cleek is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1043996770Provider TypeIndividualFull NameCleek, JohnCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/27/2023Last Updated6/26/2024Contact InformationPractice LocationPractice Address1 Hospital Dr, Columbia, MO 65212-1000Phone(573) 882-7901FaxUnlisted FaxMailing LocationMailing Address1 Hospital Dr, Columbia, MO 65212-1000Phone(573) 882-7901FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2024020339MissouriCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense2023016867Missouri