| Tinsley Medical Clinic | |
|
2400 Lucy Lee Pkwy Poplar Bluff MO 63901-2429 | |
| (573) 686-1144 | |
| (573) 686-3312 |
| Full Name | Tinsley Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2400 Lucy Lee Pkwy, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Austin R Tinsley (OWNER) |
| Authorized Official Contact | 5736861144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tinsley Medical Clinic 2400 Lucy Lee Pkwy Poplar Bluff MO 63901-2429 Ph: (573) 686-1144 | Tinsley Medical Clinic 2400 Lucy Lee Pkwy Poplar Bluff MO 63901-2429 Ph: (573) 686-1144 |
| NPI Number | 1558323386 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558323386 | NPI | - | NPPES |
| 3941210001 | Other | MO | DME NUMBER |
| 5076174600 | Medicaid | MO |
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