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Organization
PLASTIC SURGERY & WEIGHT LOSS CNTR
Active
Organization
PLASTIC SURGERY & WEIGHT LOSS CNTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAN W STEWART DO (OFFICER)
(417) 239-0079
Entity
Organization
Contact information
Practice address
10994 HISTORIC HIGHWAY 165 STE D, HOLLISTER, MO 65672-5606
(417) 239-0079
(417) 239-1228
Mailing address
PO BOX 8781, SPRINGFIELD, MO 65801-8781
(417) 239-0079
(417) 239-1228
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
101644
MO
Other
Enumeration date
09/18/2007
Last updated
04/16/2013
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