Organization
EYE SURGERY CONSULTANTS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY J PAULUS (BILLING SUPERVISOR)
(573) 686-4800
Entity
Organization
Contact information
Practice address
2210 BARRON RD, SUITE114, POPLAR BLUFF, MO 63901-1908
(573) 686-4800
(573) 686-8448
Mailing address
2210 BARRON RD, SUITE114, POPLAR BLUFF, MO 63901-1908
(573) 686-4800
(573) 686-8448
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509773602
—
MO
Enumeration date
01/25/2006
Last updated
01/05/2015
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