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Individual

DR. LUKE SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
150 S MOUNT AUBURN RD STE 420, CAPE GIRARDEAU, MO 63703-4911
(573) 335-4488
(573) 335-4466
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-3000
(573) 331-5073

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2019008254
MO

Other

Enumeration date
04/03/2014
Last updated
03/02/2021
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