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

Poplar Bluff Pediatric Assoc Ll

Organization Clinic/Center · NPI 1457881963

Poplar Bluff Pediatric Assoc Ll is a Clinic/Center in Poplar Bluff, Missouri. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

2210 Barron Rd
Poplar 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

Clinic/Center (primary) Taxonomy 261Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1457881963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Moss — Office Manager · (573) 785-2005
NPI enumeratedJune 16, 2017
Last updated in NPPESJuly 21, 2022
Mailing address2210 Barron Rd, Poplar Bluff, MO 63901-1908

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