Individual
GEORGE KATSANTONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 N MAIN ST, SIKESTON, MO 63801-5043
(573) 472-7120
(573) 472-7129
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-7120
(573) 472-7129
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
28869
OK
207Y00000X
Otolaryngology Physician
Primary
35749
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201545944
—
MO
Enumeration date
09/21/2005
Last updated
10/09/2018
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