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

Elite Obstetrics and Gynecology LLC

Organization Obstetrics & Gynecology Physician · NPI 1538915210

Elite Obstetrics and Gynecology LLC is an Obstetrics & Gynecology Physician in Poplar Bluff, Missouri. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

225 Physicians Park Ste 305
Poplar Bluff, MO 63901-3935
Phone: (573) 772-4340
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1538915210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Gibbs — Managing Director · (636) 751-5598
NPI enumeratedApril 24, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing addressPo Box 334, Van Buren, MO 63965-0334

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