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Icdoc Llc
Primary Care Clinic/Center in Poplar Bluff, Missouri
NPI 1629756929

Icdoc Llc is a Primary Care Clinic/Center based in Poplar Bluff, MO and is specialized in Primary Care. Icdoc Llc practices in Poplar Bluff, MO. The NPI Number for Icdoc Llc is 1629756929 and holds a License No. (Missouri).

The current practice location address for Icdoc Llc is 2445 N Westwood Blvd Ste 100, Poplar Bluff, MO and can be reached out via phone at 573-776-0157. You can also correspond with Icdoc Llc through the mailing address at 2445 N WESTWOOD BLVD STE 100, POPLAR BLUFF, MO - 63901-2317 (mailing address contact number: 573-776-0157).

Location: 2445 N Westwood Blvd Ste 100, Poplar Bluff, MO, 63901-2317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629756929
Provider Name
Icdoc Llc
Credential
Provider Entity Type
Organization
Address
2445 N Westwood Blvd Ste 100, Poplar Bluff, MO, 63901-2317
Phone Number
573-776-0157
Fax Number
Provider Enumeration Date
07/06/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2445 N Westwood Blvd Ste 100
City
Poplar Bluff
State
Missouri
Zip
63901-2317
Phone Number
573-776-0157
Fax Number
person
Provider Business Mailing Address Details
Address
2445 N Westwood Blvd Ste 100
City
Poplar Bluff
State
Missouri
Zip
63901-2317
Phone Number
573-776-0157
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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