| Physicians Park Primary Care | |
|
225 Physicians Park Poplar Bluff MO 63901-3956 | |
| (573) 727-5500 | |
| (573) 686-1315 |
| Full Name | Physicians Park Primary Care |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 225 Physicians Park, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Carolyn Crites (ADMINISTRATOR) |
| Authorized Official Contact | 5737275500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Park Primary Care 225 Physicians Park Poplar Bluff MO 63901-3956 Ph: (573) 727-5500 | Physicians Park Primary Care 225 Physicians Park Poplar Bluff MO 63901-3956 Ph: (573) 727-5500 |
| NPI Number | 1144451063 |
|---|---|
| Provider Enumeration Date | 07/28/2009 |
| Last Update Date | 07/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144451063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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