Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebo MD of Poplar Bluff LLC

Organization Family Medicine Physician · NPI 1770152035

Ebo MD of Poplar Bluff LLC is a Family Medicine Physician in Poplar Bluff, Missouri. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2725 N Westwood Blvd
Poplar Bluff, MO 63901-2346
Phone: (573) 686-5510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1770152035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Crocker — Cfo · (573) 686-5510
NPI enumeratedJune 22, 2021
Last updated in NPPESJuly 26, 2021
Certification dateJuly 1, 2021
Mailing address2725 N Westwood Blvd Ste 14, Poplar Bluff, MO 63901-2367

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