Organization
J K ESSMYER MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH KEITH ESSMYER SR. MD (SR MEMBER)
(573) 270-5092
Entity
Organization
Contact information
Practice address
300 MT AUBURN RD, AUBURN SURGERY CENTER, INC, CAPE GIRARDEAU, MO 63703
(573) 332-7881
Mailing address
933 COUNTY ROAD 389, WHITEWATER, MO 63785-6039
(573) 833-6630
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
31286
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200111615
—
MO
Enumeration date
02/06/2012
Last updated
02/06/2012
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