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Organization

IES MISSOURI LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NESTOR ZENAROSA MD (OWNER)
(469) 420-5527
Entity
Organization

Contact information

Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(914) 681-1155
Mailing address
PO BOX 3036, INDIANAPOLIS, IN 46206-3036
(469) 420-5527

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
03/08/2023
Last updated
07/18/2025
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