Medical & Surgical Specialists of Rolla, Inc.

NPI #1376560383 in Rolla, Missouri

Provider Information

NPI Number: 1376560383
Entity Type: Organization
Organization Name: Medical & Surgical Specialists of Rolla, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Jul 16, 2006
Last Updated: Jul 3, 2008

Practice Location

Address: 600 BLUES LAKE PKWY
City: Rolla
State: Missouri
ZIP Code: 65401-8022
Phone: (573) 364-8822

Authorized Official

Name: RICHARD KRENNING
Title: CHIEF OPERATING OFFICER
Phone: (573) 364-8822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine - Hematology & Oncology — Hematology & Oncology	207RH0003X
Otolaryngology	207Y00000X
Otolaryngology - Otolaryngic Allergy — Otolaryngic Allergy	207YX0602X
Surgery	208600000X
Podiatrist	213E00000X
Physician Assistant - Surgical — Surgical	363AS0400X
Internal Medicine	207R00000X	Primary

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