institution
Poplar Bluff Cancer & Radiation Specialist Llc
Therapeutic Radiology Physician in Poplar Bluff, Missouri
NPI 1104963354

Poplar Bluff Cancer & Radiation Specialist Llc is a Therapeutic Radiology Physician based in Saint Louis, MO and is specialized in Therapeutic Radiology. Poplar Bluff Cancer & Radiation Specialist Llc practices in Poplar Bluff, MO. The NPI Number for Poplar Bluff Cancer & Radiation Specialist Llc is 1104963354 and holds a License No. (Missouri).

The current practice location address for Poplar Bluff Cancer & Radiation Specialist Llc is 2620 N Westwood Blvd, Poplar Bluff, MO and can be reached out via phone at 573-686-5300. You can also correspond with Poplar Bluff Cancer & Radiation Specialist Llc through the mailing address at PO BOX 958262, SAINT LOUIS, MO - 63195-8262 (mailing address contact number: 636-207-0537).

Location: 2620 N Westwood Blvd, Poplar Bluff, MO, 63195-8262
institution
Provider Profile Details
NPI Number
1104963354
Provider Name
Poplar Bluff Cancer & Radiation Specialist Llc
Credential
Provider Entity Type
Organization
Address
2620 N Westwood Blvd, Poplar Bluff, MO, 63195-8262
Phone Number
573-686-5300
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
711887000 05 MO
institution
Provider Business Practice Location Address Details
Address
2620 N Westwood Blvd
City
State
Zip
63901-3396
Phone Number
573-686-5300
Fax Number
person
Provider Business Mailing Address Details
Address
2620 N Westwood Blvd
City
State
Zip
63901-3396
Phone Number
573-686-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
License No.
()
Definition
Definition to come...
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