Individual
MR. CEPHAS PANIAMOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3202 MILLER ST, BETHANY, MO 64424-2713
(660) 425-3154
Mailing address
16027 LOCUST ST, APT 5, EAGLEVILLE, MO 64442-7130
(660) 867-5111
(660) 425-2366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011007027
MO
Other
Enumeration date
04/15/2011
Last updated
03/22/2017
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