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NPI Provider: 1710982699
Contact Name: Johnson Matthew
Position: Administrator
Phone: (573) 406-1301
Northeast Missouri Ambulatory Surgery Center Information:
Northeast Missouri Ambulatory Surgery Center organization have npi 1710982699, taxonomy code is 261QA1903X with license number is 108 in . This Business address located in PO Box 511, Hannibal, MO 63401 Missouri. Get directions of Northeast Missouri Ambulatory Surgery Center.
Practice Location
Address: 98 Medical Drive, Hannibal, MO 63401
Phone: (573) 406-1301
Business Location
Address: PO Box 511, Hannibal, MO 63401
Phone: (573) 406-1301
Fax: (573) 406-0511
Taxonomy
Taxonomy Code: 261QA1903X
License Number: 108
License Number of State: MO
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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