MICHAEL SCOTT SEVERANCE

JEFFERSON CITY, MO
NPI1790708907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: MO  101963)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- MICHAEL SCOTT SEVERANCE MD
3207 W TRUMAN BLVD
JEFFERSON CITY, MO 65109-0578
Phone number: 573-636-5115
Mailing Address
-- MICHAEL SCOTT SEVERANCE MD
3207 W TRUMAN BLVD
JEFFERSON CITY, MO 65109-0578
Phone number: 573-636-5115
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