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Organization
BOLIVAR EYE SPECIALTY CENTER
Active
Organization
BOLIVAR EYE SPECIALTY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALEB RANDALL SAWYER M.D. (SOLE SHARE HOLDER)
(417) 777-2222
Entity
Organization
Contact information
Practice address
1630 KILLINGSWORTH AVE, SUITE 2B, BOLIVAR, MO 65613-2282
(417) 777-2222
(417) 777-2224
Mailing address
PO BOX 539, BOLIVAR, MO 65613-0539
(417) 777-2222
(417) 777-2224
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2006031059
MO
Other
Enumeration date
11/03/2006
Last updated
01/31/2013
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