Organization
UNITED MEDICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY TERESA BAUER (SECRETARY/TREASURER)
(573) 339-7185
Entity
Organization
Contact information
Practice address
319 S SILVER SPRINGS RD, STE A, CAPE GIRARDEAU, MO 63703-6308
(573) 339-7185
(573) 339-1079
Mailing address
PO BOX 326, CAPE GIRARDEAU, MO 63702-0326
(573) 339-7185
(573) 339-1079
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121789
BCBS
—
05
—
504748401
—
MO
Enumeration date
07/11/2005
Last updated
07/21/2022
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