| Alfa Digestive Disease Center | |
|
2520 Lucy Lee Pkwy Poplar Bluff MO 63901-2436 | |
| (573) 785-7475 | |
| (573) 785-6555 |
| Full Name | Alfa Digestive Disease Center |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2520 Lucy Lee Pkwy, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Madad Ali (PHYSICIAN) |
| Authorized Official Contact | 5737857475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfa Digestive Disease Center Po Box 216 Poplar Bluff MO 63902-0216 Ph: (573) 785-7475 | Alfa Digestive Disease Center 2520 Lucy Lee Pkwy Poplar Bluff MO 63901-2436 Ph: (573) 785-7475 |
| NPI Number | 1336310838 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336310838 | NPI | - | NPPES |
| 2060127010 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 2002027101 (Missouri) | Primary |
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