Image, Ear, Nose & Throat Surgery, Inc
Image, Ear, Nose & Throat Surgery, Inc is an Otolaryngology Physician in Festus, Missouri. Licensed in Missouri. Registered with an NPI since 2010.
- Licensed in
- MO
- In the registry since
- 2010
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1151 Gannon Dr EFestus, MO 63028-2611
Phone: (636) 937-2388
Fax: (636) 937-4976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 109503 (MO) |
|---|
Record details
| NPI number | 1689992398 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith Bonacquisti — President · (636) 937-2388 |
| NPI enumerated | May 6, 2010 |
| Last updated in NPPES | May 14, 2010 |
| Mailing address | 1151 Gannon Drive East, Festus, MO 63028-2611 |