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Organization

JAN SEABAUGH MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANICE L SEABAUGH MD (PHYSICIAN)
(573) 815-9062
Entity
Organization

Contact information

Practice address
3315 BERRYWOOD DR, SUITE 207, COLUMBIA, MO 65201-6571
(573) 815-9062
(573) 443-1162
Mailing address
3315 BERRYWOOD DR, SUITE 207, COLUMBIA, MO 65201-6571
(573) 815-9062
(573) 443-1162

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134187487
MO
Enumeration date
02/25/2016
Last updated
03/16/2016
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