| NPI | 1407047178 |
|---|---|
| Doing Business As | LAKE OZARK EAR, NOSE & THROAT |
| Entity Type | Organization |
| Authorized Contact | ERICH DANIEL MERTENSMEYER Owner 573-348-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO 2003013945) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2010-05-21 |