Poplar Bluff Pediatric Assoc Ll
Poplar Bluff Pediatric Assoc Ll is a General Practice Physician in Poplar Bluff, Missouri. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
2210 Barron Rd Ste 120Poplar Bluff, MO 63901-1908
Phone: (573) 785-2005
Fax: (573) 785-9444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1275676355 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiffany Moss — Office Manager · (573) 785-2005 |
| NPI enumerated | February 15, 2007 |
| Last updated in NPPES | October 5, 2017 |
| Mailing address | 2210 Barron Rd, Suite 120, Poplar Bluff, MO 63901-1908 |