Women's Functional Health And Hormone Ce

NPI 1023400272 - Specialist - 174400000X

NPI Details
NPI 1023400272
Enumeration Date 02/25/2015
Last Updated 02/25/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name SONJA GAYLE SONJA
Position PHYSICIAN
Phone (573) 693-1516
Fax (573) 693-1519
Practice Location
1055 OZARK CARE DR
OSAGE BEACH MO, 65065-3016, US
Phone (573) 693-1516
Fax (573) 693-1519
Business Location
1055 OZARK CARE DR
OSAGE BEACH MO, 65065-3016, US
Phone (573) 693-1516
Fax (573) 693-1519
Toxanomy
Taxonomy Code 174400000X
License State Missouri
License Number 2005000798
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According to our database, Women's Functional Health And Hormone Ce NPI is 1023400272, taxonomy code is 174400000X and license number is 2005000798, license state is located at Missouri. Women's Functional Health And Hormone Ce physically located at 1055 Ozark Care Dr, Osage Beach MO, 65065-3016. NPI Number 1033115704 has the healthcare provider type.

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1023400272 NPI number is provided on an as is basis without warranty of any kind. 1023400272 is maintained by the National Plan & Provider Enumeration System. The contents of Women's Functional Health And Hormone Ce are for informational purposes only.