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Poplar Bluff Pediatric Assoc Ll
Rural Health Clinic/Center in Poplar Bluff, Missouri
NPI 1275676355

Poplar Bluff Pediatric Assoc Ll is a Rural Health Clinic/Center based in Poplar Bluff, MO and is specialized in Rural Health. Poplar Bluff Pediatric Assoc Ll practices in Poplar Bluff, MO. The NPI Number for Poplar Bluff Pediatric Assoc Ll is 1275676355 and holds a License No. (Missouri).

The current practice location address for Poplar Bluff Pediatric Assoc Ll is 2210 Barron Rd, Poplar Bluff, MO and can be reached out via phone at 573-785-2005 and via fax at 573-785-9444.

Location: 2210 Barron Rd, Poplar Bluff, MO, 63901-1908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275676355
Provider Name
Poplar Bluff Pediatric Assoc Ll
Credential
Provider Entity Type
Organization
Address
2210 Barron Rd, Poplar Bluff, MO, 63901-1908
Phone Number
573-785-2005
Fax Number
573-785-9444
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2210 Barron Rd
City
Poplar Bluff
State
Missouri
Zip
63901-1908
Phone Number
573-785-2005
Fax Number
573-785-9444
person
Provider Business Mailing Address Details
Address
2210 Barron Rd
City
Poplar Bluff
State
Missouri
Zip
63901-1908
Phone Number
573-785-2005
Fax Number
573-785-9444
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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