Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Otolaryngic Allergy |
207YX0602X | 04 | Physician/Otolaryngology |
| NPI # | 1306934633 |
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| LBN Legal business name | SEK OTOLARYNGOLOGY | ||||||||||||
| Authorized official | MICHAEL BAKER - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 10/11/2006 | ||||||||||||
| Last updated | 03/12/2019 - About 7 years ago | ||||||||||||
| Identifiers |
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| MICHAEL P BAKER, MD 107 N PINE PITTSBURG, KS |
| LARRY D MCINTIRE, DO 1331 W 32ND ST JOPLIN, MO |
| KENT D MCINTIRE, DO 1331 W 32ND ST JOPLIN, MO |
| OTOLARYNGOLOGY OF JOPLIN 1920 E. 32ND ST. JOPLIN, MO |
| HALLIE J BAKER, DO 1331 W 32ND ST JOPLIN, MO |
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