Individual
DR. JANICE LOUISE SEABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 N KEENE ST, COLUMBIA, MO 65201-7193
(573) 777-4680
Mailing address
303 N KEENE ST, COLUMBIA, MO 65201-7193
(573) 777-4680
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36516
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202117008
—
MO
Enumeration date
05/03/2006
Last updated
11/13/2012
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