# CAPE COUNTY OTOLARYNGOLOGY HEAD & NECK SURGERY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457538654
- **Authorized official:** DR. WALTER A SCHROEDER JR DO, MD (PRESIDENT)
- **Authorized official phone:** (573) 334-5007

## Contact information

- **Practice address:** 3203 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6360
- **Practice address phone:** (573) 334-5007
- **Practice address fax:** (573) 334-6369
- **Mailing address:** 3203 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6360
- **Mailing address phone:** (573) 334-5007
- **Mailing address fax:** (573) 334-6369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | R9980 | MO | Yes |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 03/19/2014