MISSOURI PLASTIC & HAND SURGERY PC NPI 1376847830

NPI Information

  • NPI: 1376847830
  • Provider Name: MISSOURI PLASTIC & HAND SURGERY PC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 300 S MOUNT AUBURN RD
    STE 100
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Phone: (573) 651-4488

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NPI Details

MISSOURI PLASTIC & HAND SURGERY PC is a plastic and reconstructive surgery surgery in Cape Girardeau, MO. The provider is a surgeon who specializes in plastic and reconstructive surgery. MISSOURI PLASTIC & HAND SURGERY PC NPI is 1376847830. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 S MOUNT AUBURN RD
STE 100
CAPE GIRARDEAU, MO
ZIP 63703-920
Phone: (573) 651-4488
Fax: (573) 651-4488

The provider's authorized official is Gregory A Tobin .
The authorized official title is President and has the following contact phone number (573) 651-4488.

The enumeration date for this NPI number is 12/27/2010 and was last updated on 12/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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