IndividualActive
Jonathan Bath, M.D.
NPI 1811041643 · Vascular Surgery Physician · Columbia, MO
Provider details
- NPI number
- 1811041643
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2017006898 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Hospital Dr
Columbia, MO 65212-0001
Phone: (573) 884-3278
Fax: (573) 884-5049
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 843966
Kansas City, MO 64184-3966
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.