Organization
SURGICAL ASSOCIATES,M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD KEITH WONDER II M.D. (OWNER)
(417) 334-1093
Entity
Organization
Contact information
Practice address
547 BRANSON LANDING BLVD, BRANSON, MO 65616
(417) 334-1093
(417) 334-1064
Mailing address
547 BRANSON LANDING BLVD, BRANSON, MO 65616
(417) 334-1093
(417) 334-1064
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R1E13
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020007605
—
MO
Enumeration date
12/15/2006
Last updated
07/07/2011
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