Dr. Justin Imhof
Otolaryngology/Facial Plastic Surgery
100 Medical Dr
Hannibal
, Missouri 63401-6877
Dr. Justin Imhof
Otolaryngology/Facial Plastic Surgery
100 Medical Dr
Hannibal
, Missouri 63401-6877
(573) 231-3707
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Justin Imhof
- 100 Medical Dr Po Box 311
- Hannibal, MO
- Zip : 63401-6877
- Fax : (573) 231-3707
- Phone : (573) 231-3871
Second Address
- Dr. Justin Imhof
- 100 Medical Dr
- Hannibal, MO
- Zip : 63401-6877
- Fax : (573) 231-3707
- Phone : (573) 231-3871
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 2011001466 | MO |
National Provider Identifier
| NPI | 1225066509 |
|---|---|
| Provider Name | Dr. Justin Imhof |
| First Address | Hannibal, MO 63401-6877 |
| Second Address | Hannibal, MO 63401-6877 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2006 |
| Last Update Date | 03/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1225066509 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.