Organization
BRAIN AND NEUROSPINE CLINIC OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE KAPP (ADMINISTRATOR)
(573) 331-3951
Entity
Organization
Contact information
Practice address
3250 GORDONVILLE RD, CAPE GIRARDEAU, MO 63703-5056
(573) 331-3951
(573) 331-3953
Mailing address
PO BOX 693, CAPE GIRARDEAU, MO 63702-0693
(573) 331-3953
(573) 331-3952
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10441
MO
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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