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Virtual Urodynamics Llc
Medical Specialty Clinic/Center in Poplar Bluff, Missouri
NPI 1861782864

Virtual Urodynamics Llc is a Medical Specialty Clinic/Center based in Poplar Bluff, MO and is specialized in Medical Specialty. Virtual Urodynamics Llc practices in Poplar Bluff, MO. The NPI Number for Virtual Urodynamics Llc is 1861782864 and holds a License No. MD111753 (Missouri).

The current practice location address for Virtual Urodynamics Llc is 2340 Katy Ln, Poplar Bluff, MO and can be reached out via phone at 573-776-7393 and via fax at 573-776-7396.

Location: 2340 Katy Ln, Poplar Bluff, MO, 63901-2300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861782864
Provider Name
Virtual Urodynamics Llc
Credential
Provider Entity Type
Organization
Address
2340 Katy Ln, Poplar Bluff, MO, 63901-2300
Phone Number
573-776-7393
Fax Number
573-776-7396
Provider Enumeration Date
04/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2340 Katy Ln
City
Poplar Bluff
State
Missouri
Zip
63901-2300
Phone Number
573-776-7393
Fax Number
573-776-7396
person
Provider Business Mailing Address Details
Address
2340 Katy Ln
City
Poplar Bluff
State
Missouri
Zip
63901-2300
Phone Number
573-776-7393
Fax Number
573-776-7396
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
MD111753 (Missouri)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MD111753 (Missouri)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MD111753 (Missouri)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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