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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