Organization
CH SPECIALTY SERVICES MO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HOWARD (SR VP OF ADMINISTRATIVE SERVICES)
(337) 408-0797
Entity
Organization
Contact information
Practice address
400 SW LONGVIEW BLVD STE 200, LEES SUMMIT, MO 64081-2116
(337) 408-0797
(337) 943-0846
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5334
(337) 408-0797
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
04/09/2024
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