| NPI | 1134333487 |
|---|---|
| Doing Business As | CONCANNON PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW J CONCANNON Owner 573-449-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO R7H73) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |