Organization
OSAGE BEACH CARDIOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JOSEPH MCDERMOTT M.D. (PRESIDENT)
(573) 480-4497
Entity
Organization
Contact information
Practice address
162 CRESCENT BLF, CAMDENTON, MO 65020-3828
(573) 480-4186
Mailing address
PO BOX 1087, OSAGE BEACH, MO 65065-1087
(573) 480-4186
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R3N07
MO
Other
Enumeration date
08/30/2006
Last updated
04/02/2018
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