| Southeasthealth | |
|
2002 Kanell Blvd Poplar Bluff MO 63901-4045 | |
| (573) 778-0020 | |
| (573) 776-7548 |
| Full Name | Southeasthealth |
|---|---|
| Speciality | Family Medicine |
| Location | 2002 Kanell Blvd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Paula E Harris (VP REGIONAL OPERATIONS) |
| Authorized Official Contact | 5737780020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeasthealth Po Box 989 Poplar Bluff MO 63902-0989 Ph: (573) 778-0020 | Southeasthealth 2002 Kanell Blvd Poplar Bluff MO 63901-4045 Ph: (573) 778-0020 |
| NPI Number | 1053659904 |
|---|---|
| Provider Enumeration Date | 01/28/2013 |
| Last Update Date | 03/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053659904 | NPI | - | NPPES |
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