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1063739159
PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC
COLUMBIA, MO
NPI
1063739159
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Entity Type
Organization
Authorized Contact
RICHARD ROYER
Administrator
573-777-1191
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: MO R5577)
Enumeration Date
2010-04-28
Last Update Date
2010-04-28
Business Address
PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC
1701 E BROADWAY SUITE 304
COLUMBIA, MO 65201-8018
Phone number: 573-876-1700
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Mailing Address
PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC
1701 E BROADWAY SUITE 304
COLUMBIA, MO 65201-8018
Phone number: 573-876-1700
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