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Mid-Missouri Ent And Facial Plastic Surgery Specialsts INC.

Otolaryngology in Jefferson City, MO. Organization (NPI-2).

NPI number1619089836
StatusActive
Last updated in NPPESJun 19, 2008

Details

NPI
1619089836
Entity type
Organization (NPI-2)
Legal business name
Mid-Missouri Ent And Facial Plastic Surgery Specialsts INC.
Organization subpart
No
Enumeration date
Sep 1, 2006
Last updated
Jun 19, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology––Yes

Practice location

3527 W Truman Blvd
Ste 200
Jefferson City, MO 65109

Phone 573-635-7901 · Fax 573-635-4805

Mailing address

3527 W Truman Blvd
Ste 200
Jefferson City, MO 65109

Phone 573-635-7901 · Fax 573-635-4805

Authorized official

Douglas J Howland
Physician
5736357901

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