Organization
SOUTHERN CROSS MEDICAL SERVICES INC
Active
Organization
SOUTHERN CROSS MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY TERESA BAUER (SECRETARY/TREASURER)
(573) 339-7185
Entity
Organization
Contact information
Practice address
319 S SILVER SPRINGS RD, STE A, CAPE GIRARDEAU, MO 63703
(573) 339-7185
(573) 339-1079
Mailing address
PO BOX 326, CAPE GIRARDEAU, MO 63702-0326
(573) 339-7185
(573) 339-1079
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
000060205
MO
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1771
BLUE CROSS
—
05
—
506882307
—
MO
Enumeration date
06/30/2005
Last updated
06/15/2018
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