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Contact Information

MEDICAL & SURGICAL SPECIALISTS OF ROLLA, INC.
600 BLUES LAKE PKWY
ROLLA, MO65401-8022
 Phone: 573-364-8822
 Fax: 573-341-5969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Otolaryngic Allergy

207YX0602X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Podiatrist

213E00000X 48 Podiatry
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MEDICAL SURGICAL SPECIALISTS OF ROLLA INC · (Female)

NPI # 1376560383
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2006
Last updated 07/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO Medicaid 503052706
  • GA Other DA5531 RAIL ROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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