Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 2014021381 | MO |
NPI | 1609244193 |
---|---|
Provider Name | Heather A Curtis |
First Address | Hannibal, MO 63401-1239 |
Second Address | Hannibal, MO 63401-6890 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2015 |
Last Update Date | 11/12/2019 |