# JAN SEABAUGH MD LLC

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

## Provider details

- **NPI number:** 1679933188
- **Authorized official:** JANICE L SEABAUGH MD (PHYSICIAN)
- **Authorized official phone:** (573) 815-9062

## Contact information

- **Practice address:** 3315 BERRYWOOD DR, SUITE 207, COLUMBIA, MO 65201-6571
- **Practice address phone:** (573) 815-9062
- **Practice address fax:** (573) 443-1162
- **Mailing address:** 3315 BERRYWOOD DR, SUITE 207, COLUMBIA, MO 65201-6571
- **Mailing address phone:** (573) 815-9062
- **Mailing address fax:** (573) 443-1162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2016
- **Last updated:** 03/16/2016