Provider First Line Business Practice Location Address:
310 S SILVER SPRINGS RD
Provider Second Line Business Practice Location Address:
SOUTHEASTHEALTH WOUND & HYPERBARIC MEDICINE
Provider Business Practice Location Address City Name:
CAPE GIRARDEAU
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63703-6312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-334-9537
Provider Business Practice Location Address Fax Number:
573-335-0147
Provider Enumeration Date:
01/27/2006