Organization
EAR,NOSE,AND THROAT PLASTIC SURGERY OF WARRENSBURG, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEWIS HECHLER D.O. (PRESIDENT)
(660) 747-5444
Entity
Organization
Contact information
Practice address
706 N BURKARTH RD, WARRENSBURG, MO 64093-9303
(660) 747-5444
(660) 747-5481
Mailing address
706 N BURKARTH RD, WARRENSBURG, MO 64093-9303
(660) 747-5444
(660) 747-5481
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
101381
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22873017
BLUE CROSS/BLUE SHIELD OF KANSAS CITY
—
05
—
506292705
—
MO
Enumeration date
11/05/2006
Last updated
04/23/2008
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