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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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