Tinsley Medical Clinic | |
2400 Lucy Lee Pkwy Poplar Bluff MO 63901-2429 | |
(573) 686-1144 | |
(573) 686-3312 |
Full Name | Tinsley Medical Clinic |
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Speciality | Family Medicine |
Location | 2400 Lucy Lee Pkwy, Poplar Bluff, Missouri |
Authorized Official Name and Position | Austin R Tinsley (OWNER) |
Authorized Official Contact | 5736861144 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tinsley Medical Clinic 2400 Lucy Lee Pkwy Poplar Bluff MO 63901-2429 Ph: (573) 686-1144 | Tinsley Medical Clinic 2400 Lucy Lee Pkwy Poplar Bluff MO 63901-2429 Ph: (573) 686-1144 |
NPI Number | 1558323386 |
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Provider Enumeration Date | 04/05/2006 |
Last Update Date | 11/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558323386 | NPI | - | NPPES |
3941210001 | Other | MO | DME NUMBER |
5076174600 | Medicaid | MO |
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