| Neurological Consultants Of Cape Girardeau, L.l.c. | |
|
63 Doctors Park Cape Girardeau MO 63703-4927 | |
| (573) 334-4110 | |
| (573) 334-4178 |
| Full Name | Neurological Consultants Of Cape Girardeau, L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 63 Doctors Park, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Randall L Stahly (SOLE MEMBER) |
| Authorized Official Contact | 5733344110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurological Consultants Of Cape Girardeau, L.l.c. Po Box 1118 Cape Girardeau MO 63702-1118 Ph: (573) 334-4110 | Neurological Consultants Of Cape Girardeau, L.l.c. 63 Doctors Park Cape Girardeau MO 63703-4927 Ph: (573) 334-4110 |
| NPI Number | 1225261357 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 08/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225261357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | R6455 (Missouri) | Primary |
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