Organization
CAPE COUNTY OTOLARYNGOLOGY HEAD & NECK SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER A SCHROEDER JR DO, MD (PRESIDENT)
(573) 334-5007
Entity
Organization
Contact information
Practice address
3203 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6360
(573) 334-5007
(573) 334-6369
Mailing address
3203 BLATTNER DR, CAPE GIRARDEAU, MO 63703-6360
(573) 334-5007
(573) 334-6369
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R9980
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119051
HEALTH LINK
MO
05
—
242087112
—
MO
01
—
26757
BLUE CROSS BLUE SHIELD
MO
Enumeration date
01/30/2008
Last updated
03/19/2014
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