Organization
WEST CENTRAL MISSOURI ORTHOPAEDIC SURGICAL SERIVCES P.C.
Active
Organization
WEST CENTRAL MISSOURI ORTHOPAEDIC SURGICAL SERIVCES P.C.
Active
Other names
Orthopaedic Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS W KIBURZ MD (PHYSICIAN)
(660) 826-5890
Entity
Organization
Contact information
Practice address
2301 S INGRAM AVE, SEDALIA, MO 65301-8121
(660) 826-5890
Mailing address
2301 S INGRAM AVE, SEDALIA, MO 65301-8121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509999207
—
MO
Enumeration date
08/01/2006
Last updated
05/14/2008
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