# HEARTLAND ENT HEAD AND NECK SURGERY, LLC

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

## Provider details

- **NPI number:** 1871761437
- **Authorized official:** DR. DAVID B BOWNE M.D. (MANAGING MEMBER)
- **Authorized official phone:** (573) 582-8500

## Contact information

- **Practice address:** 515 E PROMENADE ST, MEXICO, MO 65265-2966
- **Practice address phone:** (573) 582-8500
- **Practice address fax:** (573) 582-7727
- **Mailing address:** 515 E PROMENADE ST, MEXICO, MO 65265-2966
- **Mailing address phone:** (573) 582-8500
- **Mailing address fax:** (573) 582-7727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 112829 | MO | Yes |

## Other

- **Enumeration date:** 02/18/2008
- **Last updated:** 04/01/2008