Organization
WEST PLAINS SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONJA LEA STAUFFER MS (ADMINISTRATOR)
(417) 256-2111
Entity
Organization
Contact information
Practice address
805 N KENTUCKY ST, WEST PLAINS, MO 65775-2022
(417) 255-2301
(417) 255-2303
Mailing address
805 N KENTUCKY ST, WEST PLAINS, MO 65775-2022
(417) 255-2301
(417) 255-2303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
112742
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511720482
MEDICARE RR
—
Enumeration date
09/27/2006
Last updated
08/26/2010
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