Individual
SEONG-WOOK SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 W PARKVIEW ST STE 1C, BOLIVAR, MO 65613-7800
(417) 326-7246
(417) 777-2968
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
(417) 328-6338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2020001901
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2020001901
MO
Other
Enumeration date
04/17/2015
Last updated
04/23/2021
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