Icdoc LLC
Icdoc LLC is a Primary Care Clinic/Center in Poplar Bluff, Missouri. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2445 N Westwood Blvd Ste 100Poplar Bluff, MO 63901-2317
Phone: (573) 776-0157
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1629756929 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shelly Gresham — Member, Administrator · (573) 776-0157 |
| NPI enumerated | July 6, 2023 |
| Last updated in NPPES | July 6, 2023 |
| Certification date | July 6, 2023 |
| Mailing address | 2445 N Westwood Blvd Ste 100, Poplar Bluff, MO 63901-2317 |
Other providers in Poplar Bluff
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Essential Family Healthcare, LLC
1369 N Westwood Blvd, Poplar Bluff, MO 63901 · (573) 714-6337
-
Family Counseling Center, Inc
3001 Warrior Ln, Poplar Bluff, MO 63901-8685 · (573) 686-1200