Organization · Type 2 NPI
Edment, LLC
Otolaryngology/Facial Plastic Surgery Physician · Osage Beach, MO
NPI number
1407047178
Active
Practice location
5780 Highway 54, Suite 113
Osage Beach, MO 65065-3043
Fax (573) 348-1284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 2003013945 (MO) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
About NPI 1407047178
Edment, LLC's National Provider Identifier is 1407047178, issued on Aug 7, 2007. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Osage Beach, MO. The record was last updated on May 21, 2010.