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Organization
MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALISTS INC.
Active
Organization
MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALISTS INC.
Active
Parent organization
MID MO EAR NOSE THROAT & FACIAL PLASTIC SURGERY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID MO EAR NOSE THROAT & FACIAL PLASTIC SURGERY INC
Authorized official
DOUGLAS J HOWLAND DO (PHYSICIAN)
(573) 635-7901
Entity
Organization
Contact information
Practice address
54 HOSPITAL DR, SUITE 102, OSAGE BEACH, MO 65065
(573) 348-0826
(573) 348-2328
Mailing address
3527 WEST TRUMAN BLVD, SUITE 200, JEFFERSON CITY, MO 65109
(573) 635-7901
(573) 635-4805
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
06/25/2008
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