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Organization

PEDIATRIC EYE CARE OF THE HEARTLAND, LLC

Active
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Organization

PEDIATRIC EYE CARE OF THE HEARTLAND, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARYBETH E KAPP MD (OWNER)
(573) 334-7427
Entity
Organization

Contact information

Practice address
3065 WILLIAM ST, STE 207, CAPE GIRARDEAU, MO 63703-6393
(573) 334-7427
(573) 334-5970
Mailing address
3065 WILLIAM ST, STE 207, CAPE GIRARDEAU, MO 63703-6393
(573) 334-7427
(573) 334-5970

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R2K43
MO

Other

Enumeration date
03/06/2007
Last updated
08/22/2020
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