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Osage Valley Plastic Surgery Pc
Specialist in Osage Beach, Missouri
NPI 1245596501

Osage Valley Plastic Surgery Pc is a Specialist based in Osage Beach, MO. Osage Valley Plastic Surgery Pc practices in Osage Beach, MO. The NPI Number for Osage Valley Plastic Surgery Pc is 1245596501 and holds a License No. MO109950 (Missouri).

The current practice location address for Osage Valley Plastic Surgery Pc is 985 Executive Dr, Osage Beach, MO and can be reached out via phone at 573-348-4863 and via fax at 573-348-4965.

Location: 985 Executive Dr, Osage Beach, MO, 65065-3496
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245596501
Provider Name
Osage Valley Plastic Surgery Pc
Credential
Provider Entity Type
Organization
Address
985 Executive Dr, Osage Beach, MO, 65065-3496
Phone Number
573-348-4863
Fax Number
573-348-4965
Provider Enumeration Date
04/11/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
204838908 05 MO
institution
Provider Business Practice Location Address Details
Address
985 Executive Dr
City
Osage Beach
State
Missouri
Zip
65065-3496
Phone Number
573-348-4863
Fax Number
573-348-4965
person
Provider Business Mailing Address Details
Address
985 Executive Dr
City
Osage Beach
State
Missouri
Zip
65065-3496
Phone Number
573-348-4863
Fax Number
573-348-4965
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MO109950 (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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