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Organization

BOLIVAR EYE SPECIALTY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CALEB RANDALL SAWYER M.D. (SOLE SHARE HOLDER)
(417) 777-2222
Entity
Organization

Contact information

Practice address
1630 KILLINGSWORTH AVE, SUITE 2B, BOLIVAR, MO 65613-2282
(417) 777-2222
(417) 777-2224
Mailing address
PO BOX 539, BOLIVAR, MO 65613-0539
(417) 777-2222
(417) 777-2224

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2006031059
MO

Other

Enumeration date
11/03/2006
Last updated
01/31/2013
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