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Contact Information

MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALSTS INC.
3527 W TRUMAN BLVD
STE 200
JEFFERSON CITY, MO65109
 Phone: 573-635-7901
 Fax: 573-635-4805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MID MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALSTS INC · (Female)

NPI Number 1619089836
Status Active
Credentials
Entity Individual
Enumeration date 09/01/2006
Last updated 06/19/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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