# OZARK MOUNTAIN EAR NOSE & THROAT

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

## Provider details

- **NPI number:** 1902034218
- **Authorized official:** DR. JAMES TRAVIS BRAWNER M.D. (SOLE MEMBER OF LLC)
- **Authorized official phone:** (417) 230-7874

## Contact information

- **Practice address:** 186 S PAYNE STEWART DR STE 201, BRANSON, MO 65616-2732
- **Practice address phone:** (417) 335-3636
- **Practice address fax:** (417) 335-3626
- **Mailing address:** 545 BRANSON LANDING BLVD, SUITE 410, BRANSON, MO 65616-4500
- **Mailing address phone:** (405) 209-8169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 2009001424 | MO | Yes |

## Other

- **Enumeration date:** 06/24/2009
- **Last updated:** 12/03/2019