# MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALISTS INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MID MO EAR NOSE THROAT & FACIAL PLASTIC SURGERY INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972795839
- **Legal business name:** MID MO EAR NOSE THROAT & FACIAL PLASTIC SURGERY INC
- **Authorized official:** DOUGLAS J HOWLAND DO (PHYSICIAN)
- **Authorized official phone:** (573) 635-7901

## Contact information

- **Practice address:** 54 HOSPITAL DR, SUITE 102, OSAGE BEACH, MO 65065
- **Practice address phone:** (573) 348-0826
- **Practice address fax:** (573) 348-2328
- **Mailing address:** 3527 WEST TRUMAN BLVD, SUITE 200, JEFFERSON CITY, MO 65109
- **Mailing address phone:** (573) 635-7901
- **Mailing address fax:** (573) 635-4805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2007
- **Last updated:** 06/25/2008