Organization
MIDWEST EAR NOSE & THROAT SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P LONG (OFFICE MANAGER)
(402) 463-2431
Entity
Organization
Contact information
Practice address
614 S MAIN, SMITH CENTER, KS 66967
(402) 463-2431
Mailing address
SUITE 203, 2115 N KANSAS AVE, HASTINGS, NE 68901
(402) 463-2431
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
04-28746
KS
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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