Poplar Bluff Pediatric Assoc Ll | |
2210 Barron Rd Suite 120 Poplar Bluff MO 63901-1908 | |
(573) 785-2005 | |
(573) 785-9444 |
Full Name | Poplar Bluff Pediatric Assoc Ll |
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Speciality | Clinic/center - Rural Health |
Location | 2210 Barron Rd, Poplar Bluff, Missouri |
Authorized Official Name and Position | Tiffany L Moss (OFFICE MANAGER) |
Authorized Official Contact | 5737852005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Poplar Bluff Pediatric Assoc Ll 2210 Barron Rd Suite 120 Poplar Bluff MO 63901-1908 Ph: (573) 785-2005 | Poplar Bluff Pediatric Assoc Ll 2210 Barron Rd Suite 120 Poplar Bluff MO 63901-1908 Ph: (573) 785-2005 |
NPI Number | 1275676355 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 10/05/2017 |
Identifier | Type | State | Issuer |
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1275676355 | NPI | - | NPPES |
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Missouri Highlands Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Barron Rd Ste 120, Poplar Bluff, MO 63901 Phone: 573-785-6536 Fax: 573-785-0345 | |
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