Organization
OTOLOGIC CENTER, INC.
Active
Organization
OTOLOGIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MARION LUETJE MD (PRESIDENT)
(816) 531-7373
Entity
Organization
Contact information
Practice address
3100 BROADWAY ST, SUITE 509, KANSAS CITY, MO 64111-2658
(816) 531-7373
(816) 531-1404
Mailing address
3100 BROADWAY ST, SUITE 509, KANSAS CITY, MO 64111-2658
(816) 531-7373
(816) 531-1404
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
31298
MO
Other
Enumeration date
06/19/2007
Last updated
12/07/2007
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