Organization
FARMINGTON EAR, NOSE, AND THROAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN W. ROBERTS D.O. (OWNER)
(573) 756-8888
Entity
Organization
Contact information
Practice address
501 WEST PINE STREET, FARMINGTON, MO 63640
(573) 756-8888
(866) 291-5617
Mailing address
501 W PINE ST, FARMINGTON, MO 63640
(573) 756-8888
(866) 291-5617
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/04/2009
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