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Organization

CAPE GIRARDEAU SURGICAL CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH J. HOLT PHD (ADMINISTRATOR)
(573) 334-3074
Entity
Organization

Contact information

Practice address
60 DOCTORS' PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-3074
(573) 334-5554
Mailing address
60 DOCTORS' PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-3074
(573) 334-5554

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500139001
MO
Enumeration date
05/28/2006
Last updated
12/06/2011
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