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Organization

SUSIE EARLY MD PC

Active
Other names
Elizabeth K. Early, MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH K. EARLY MD (PHYSICIAN)
(573) 874-6984
Entity
Organization

Contact information

Practice address
303 NORTH KEENE STREET, SUITE 401, COLUMBIA, MO 65201
(573) 874-6984
(573) 874-8737
Mailing address
303 NORTH KEENE STREET, SUITE 401, COLUMBIA, MO 65201
(573) 874-6984
(573) 874-8737

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
190084
BLUE CROSS BLUE SHIELD
MO
01
48602
HEALTHCARE USA
MO
01
497844546EAR
MERCY
MO
05
507255107
MO
01
661525
HEALTHLINK
MO
01
DB8490
RAILROAD MEDICARE
MO
Enumeration date
06/27/2005
Last updated
07/21/2022
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