Organization
CAPE NEUROLOGICAL SURGEONS, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA A TILLEY (OFFICE MANAGER)
(573) 334-9933
Entity
Organization
Contact information
Practice address
304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 334-9933
(573) 334-9958
Mailing address
304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 334-9933
(573) 334-9958
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD109222
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201119203
—
MO
05
—
203306907
—
MO
05
—
208021915
—
MO
Enumeration date
09/21/2006
Last updated
09/12/2008
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