Southern Missouri Ear, Nose & Throat, Pc in West Plains - Specialist

Southern Missouri Ear, Nose & Throat, Pc - NPI 1114057395

Southern Missouri Ear, Nose & Throat, Pc is a Specialist in West Plains, Missouri. Southern Missouri Ear, Nose & Throat, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southern Missouri Ear, Nose & Throat, Pc is 1114057395. The last update date is 2014-09-08.

Southern Missouri Ear, Nose & Throat, Pc's current location address is 1409 Doctors Dr, West Plains, Missouri. You can contact this provider via phone number 4172551373 and fax number 4172565040. The mailing address for Southern Missouri Ear, Nose & Throat, Pc is 1409 Doctors Dr, West Plains, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern Missouri Ear, Nose & Throat, Pc
Address 1409 Doctors Dr, West Plains, Missouri
Phone Number 4172551373
Fax Number 4172565040
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hull J Jeffrey
Credentials MD
Telephone Number 4172551373

NPI Number Detail

NPI Number 1114057395
Provider Enumeration Date 2007-03-06
Last Updated Date 2014-09-08

Provider Mailing Address Detail

Address 1409 Doctors Dr
City West Plains
State Missouri (MO)
Post Code 657754754
Phone Number 4172551373
Fax Number 4172565040

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 2002004660
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Southern Missouri Ear, Nose & Throat, Pc

What is the unique 10-digit identifier code issued to Southern Missouri Ear, Nose & Throat, Pc by the Centers for Medicare & Medicaid Services?

The Southern Missouri Ear, Nose & Throat, Pc has been assigned the NPI (National Provider Identifier) 1114057395 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Southern Missouri Ear, Nose & Throat, Pc is located?

The Southern Missouri Ear, Nose & Throat, Pc is situated at the following address: 1409 Doctors Dr, West Plains, MO, 657754754.

What is Southern Missouri Ear, Nose & Throat, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Southern Missouri Ear, Nose & Throat, Pc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did Southern Missouri Ear, Nose & Throat, Pc receive its 1114057395 assignment from the Centers for Medicare & Medicaid Services?

The Southern Missouri Ear, Nose & Throat, Pc was assigned its 1114057395 on 2007-03-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Southern Missouri Ear, Nose & Throat, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Southern Missouri Ear, Nose & Throat, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-09-08.

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