SEMO OTOLARYNGOLOGY HEAD & NECK SURGERY INC
Organization (NPI-2)
Active
Otolaryngology
Provider Information
- NPI Number
1720095466- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 150 SOUTH MOUNT AUBURN ROAD SUITE 420, CAPE GIRARDEAU, MO, 63703
- Phone
- (573) 335-4448
- Fax
- (573) 335-4466
Specialties & Taxonomies
Otolaryngology
License: MO #MD108690
Otolaryngology
License: MO #2001021769
Otolaryngology
Primary License: MO #R8494