NPI 1609289008 · live from the CMS NPI Registry
Steven Defroda, MD
Orthopaedic Surgery, Sports Medicine in Columbia, MO. National Provider Identifier 1609289008, active.
NPI record
| NPI | 1609289008 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 1100 Virginia Ave, Columbia, MO 65212 |
| Practice phone | 573-882-2663 |
| Enumerated | June 4, 2014 |
| Last updated | November 3, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 2021003322 (MO) |
| Orthopaedic Surgery | 207X00000X | MD16661 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.