NPI 1013050970

Central Mo Ear, Nose, Throat, & Sinus, P.C.

Organisation Specialist Jefferson City, MO

Practice location

Address: 3527 W Truman Blvd STE 200, Jefferson City, MO 65109-5902
Phone: (573) 659-5570
Fax: (573) 659-5577

Authorised official

Name: Robert J McDonald
Title: Owner
Phone: (573) 659-5570

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MDR1K87 (MO)

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Registry record

NPI: 1013050970
Entity type: Organization
NPI issued: 14 Feb 2007
Record last updated: 17 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.