| Haven Hills Medical Clinic | |
|
1611 Lurlyn Road Poplar Bluff MO 63901 | |
| (573) 785-7708 | |
| (573) 785-7700 |
| Full Name | Haven Hills Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1611 Lurlyn Road, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Devendra K Varma (OWNER) |
| Authorized Official Contact | 5737857708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Hills Medical Clinic 1611 Lurlyn Road Poplar Bluff MO 63901 Ph: (573) 785-7708 | Haven Hills Medical Clinic 1611 Lurlyn Road Poplar Bluff MO 63901 Ph: (573) 785-7708 |
| NPI Number | 1750469763 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750469763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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