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Dale F Vaslow

Radiology

Allopathic & Osteopathic Physicians

One Hospital Dr, Columbia, MO 65212-0001

PECOS Enrollment

This provider is enrolled in PECOS as DALE VASLOW.

Based on the most recent information from CMS, provider Dale F Vaslow is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1801847199
Provider Type
Individual
Full Name
Vaslow, Dale F
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/12/2006
Last Updated
1/29/2008

Contact Information

Practice Location

One Hospital Dr, Columbia, MO 65212-0001

(573) 882-1026

(573) 884-8876

Mailing Location

PO Box 7687, Columbia, MO 65205-7687

(573) 882-2259

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 113461 Missouri

Dale F Vaslow

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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