institution
Central Mo Ear, Nose, Throat, & Sinus, P.c.
Specialist in Jefferson City, Missouri
NPI 1013050970

Central Mo Ear, Nose, Throat, & Sinus, P.c. is a Specialist based in Jefferson City, MO. Central Mo Ear, Nose, Throat, & Sinus, P.c. practices in Jefferson City, MO. The NPI Number for Central Mo Ear, Nose, Throat, & Sinus, P.c. is 1013050970 and holds a License No. MDR1K87 (Missouri).

The current practice location address for Central Mo Ear, Nose, Throat, & Sinus, P.c. is 3527 W Truman Blvd Ste 200, Jefferson City, MO and can be reached out via phone at 573-659-5570 and via fax at 573-659-5577. You can also correspond with Central Mo Ear, Nose, Throat, & Sinus, P.c. through the mailing address at 3527 W TRUMAN BLVD STE 200, JEFFERSON CITY, MO - 65109-5902 (mailing address contact number: 573-659-5570).

Location: 3527 W Truman Blvd Ste 200, Jefferson City, MO, 65109-5902
institution
Provider Profile Details
NPI Number
1013050970
Provider Name
Central Mo Ear, Nose, Throat, & Sinus, P.c.
Credential
Provider Entity Type
Organization
Address
3527 W Truman Blvd Ste 200, Jefferson City, MO, 65109-5902
Phone Number
573-659-5570
Fax Number
573-659-5577
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
504611609 05 MO
24321 01 MO BLUE CROSS BLUE SHIELD
DG6216 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3527 W Truman Blvd Ste 200
City
State
Zip
65109-5902
Phone Number
573-659-5570
Fax Number
573-659-5577
person
Provider Business Mailing Address Details
Address
3527 W Truman Blvd Ste 200
City
State
Zip
65109-5902
Phone Number
573-659-5570
Fax Number
573-659-5577
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MDR1K87 (Missouri)
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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