# BRANSON EAR NOSE & THROAT

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

## Provider details

- **NPI number:** 1871715953
- **Authorized official:** LINDA D GUTHRIE (OFFICE MANAGER)
- **Authorized official phone:** (417) 335-3636

## Contact information

- **Practice address:** 545 BRANSON LANDING BLVD, SUITE 410, BRANSON, MO 65616
- **Practice address phone:** (417) 335-3636
- **Practice address fax:** (417) 335-3626
- **Mailing address:** 545 BRANSON LANDING BLVD, SUITE 410, BRANSON, MO 65616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 109786 | MO | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/22/2020