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Organization
FARMINGTON EAR, NOSE, AND THROAT, LLC
Active
Organization
FARMINGTON EAR, NOSE, AND THROAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN W. ROBERTS D.O. (OWNER)
(573) 756-8888
Entity
Organization
Contact information
Practice address
501 WEST PINE STREET, FARMINGTON, MO 63640
(573) 756-8888
(866) 291-5617
Mailing address
501 W PINE ST, FARMINGTON, MO 63640
(573) 756-8888
(866) 291-5617
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/20/2008
Last updated
03/04/2009
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