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Organization
MEDICAL SPECIALISTS OF SOUTHEAST MISSOURI, PC
Active
Organization
MEDICAL SPECIALISTS OF SOUTHEAST MISSOURI, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E LAVALLE M.D. (OWNER)
(573) 334-4822
Entity
Organization
Contact information
Practice address
211 SAINT FRANCIS DR, ATTN INFECTIOUS DISEASE DEPT, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
(573) 331-3000
Mailing address
PO BOX 191850, SAINT LOUIS, MO 63119-7850
(314) 821-8055
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
100253
MO
Other
Enumeration date
11/30/2005
Last updated
10/16/2007
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