Organization
EDMENT, LLC
Active
Other names
Lake Ozark Ear, Nose & Throat
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICH DANIEL MERTENSMEYER D.O. (OWNER)
(573) 348-2775
Entity
Organization
Contact information
Practice address
5780 HIGHWAY 54, SUITE 113, OSAGE BEACH, MO 65065-3043
(573) 348-2775
(573) 348-1284
Mailing address
5780 HIGHWAY 54, SUITE 113, OSAGE BEACH, MO 65065-3043
(573) 348-2775
(573) 348-1284
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
2003013945
MO
Other
Enumeration date
08/07/2007
Last updated
05/21/2010
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