# SUZANNE E. ALT, D.O., LLC

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

## Provider details

- **NPI number:** 1568431013
- **Authorized official:** SUZANNE E ALT D.O. (PRESIDENT)
- **Authorized official phone:** (660) 665-0817

## Contact information

- **Practice address:** 2605 N BALTIMORE ST, KIRKSVILLE, MO 63501-5116
- **Practice address phone:** (660) 665-0817
- **Practice address fax:** (660) 665-2398
- **Mailing address:** PO BOX 1043, KIRKSVILLE, MO 63501-1043
- **Mailing address phone:** (913) 248-9693
- **Mailing address fax:** (913) 248-9383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MO-R9G62 | MO | Yes |
| 208VP0000X | Pain Medicine Physician | MO-R9G62 | MO | — |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 02/12/2008