Plastic and Reconstructive Surgery of Mid-Missouri, INC

NPI #1063739159 in Columbia, Missouri

Provider Information

NPI Number
1063739159
Entity Type
Organization
Organization Name
Plastic and Reconstructive Surgery of Mid-Missouri, INC
Primary Specialty
Plastic Surgery
Enumeration Date
Apr 28, 2010
Last Updated
Apr 28, 2010

Practice Location

Address
1701 E BROADWAY
Address 2
SUITE 304
ZIP Code
65201-8018
Phone
(573) 876-1700

Authorized Official

Name
RICHARD ROYER
Title
ADMINISTRATOR
Phone
(573) 777-1191

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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