Organization
MIDWEST SINUS ALLERGY SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DENNINGHOFF MD (OWNER/AUTHORIZED OFFICIAL)
(573) 815-0662
Entity
Organization
Contact information
Practice address
1701 E BROADWAY SUITE 304, COLUMBIA, MO 65201
(573) 815-0662
(573) 443-1162
Mailing address
1701 E BROADWAY SUITE 304, COLUMBIA, MO 65201
(573) 815-0662
(573) 443-1162
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505251405
—
MO
Enumeration date
11/02/2006
Last updated
08/31/2016
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