Organization
HEARTLAND ENT HEAD AND NECK SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B BOWNE M.D. (MANAGING MEMBER)
(573) 582-8500
Entity
Organization
Contact information
Practice address
515 E PROMENADE ST, MEXICO, MO 65265-2966
(573) 582-8500
(573) 582-7727
Mailing address
515 E PROMENADE ST, MEXICO, MO 65265-2966
(573) 582-8500
(573) 582-7727
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
112829
MO
Other
Enumeration date
02/18/2008
Last updated
04/01/2008
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