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Organization

MIDWEST ENT CENTRE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN MICHAEL CONOYER M.D. (PRESIDENT)
(636) 441-3100
Entity
Organization

Contact information

Practice address
4790 EXECUTIVE CENTRE PKWY, SAINT PETERS, MO 63376-1606
(636) 441-3100
(636) 441-6784
Mailing address
4790 EXECUTIVE CENTRE PKWY, SAINT PETERS, MO 63376-1606
(636) 441-3100
(636) 441-6784

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
02/28/2007
Last updated
07/28/2008
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