Michael Scott Severance, MD Valid NPI

Individual provider · Urology Physician · Jefferson City, MO

NPI

1790708907

Type

Individual (Type 1)

Primary specialty

Urology Physician (Urology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208800000X

License number

101963 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-26

Last updated

2007-07-08