Wanless Ear, Nose & Throat LLC

NPI #1083689889 in Moberly, Missouri

Provider Information

NPI Number: 1083689889
Entity Type: Organization
Organization Name: Wanless Ear, Nose & Throat LLC
Primary Specialty: Otolaryngology
Enumeration Date: Feb 23, 2006
Last Updated: Mar 3, 2020

Practice Location

Address: 1513 UNION AVE STE 1200
City: Moberly
State: Missouri
ZIP Code: 65270-9405
Phone: (660) 263-4600

Authorized Official

Name: KIRK M. WANLESS, MD
Title: PHYSICIAN OWNER
Phone: (660) 263-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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