Organization
SPRINGFIELD EAR NOSE THROAT & FACIAL PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNEA ADAMS (ACCOUNTS MANAGER)
(417) 887-3855
Entity
Organization
Contact information
Practice address
3555 S CULPEPPER CIR, SPRINGFIELD, MO 65804-4222
(417) 887-3855
(417) 887-3857
Mailing address
3555 S CULPEPPER CIR, SPRINGFIELD, MO 65804-4222
(417) 887-3855
(417) 887-3857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2000172900
MO
Other
Enumeration date
03/08/2007
Last updated
04/11/2008
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