The Surgery Center Of Poplar Bluff

NPI 1053300012 - Clinic/Center - 261QA1903X

NPI Details
NPI 1053300012
Enumeration Date 10/20/2005
Last Updated 05/03/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CHRISTY L CHRISTY
Position COO LEAD ADMIN.
Phone (573) 727-9080
Fax (573) 712-2106
Practice Location
219 PHYSICIANS PARK DRIVE
POPLAR BLUFF MO, 63901-3956, US
Phone (573) 727-9080
Fax (573) 712-2106
Business Location
219 PHYSICIANS PARK DRIVE
POPLAR BLUFF MO, 63901-3956, US
Phone (573) 727-9080
Fax (573) 712-2106
Toxanomy
Taxonomy Code 261QA1903X
License State Missouri
License Number 124-3
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According to our database, The Surgery Center Of Poplar Bluff NPI is 1053300012, taxonomy code is 261QA1903X and license number is 124-3, license state is located at Missouri. The Surgery Center Of Poplar Bluff physically located at 219 Physicians Park Drive, Poplar Bluff MO, 63901-3956. NPI Number 1033115704 has the healthcare provider type.

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1053300012 NPI number is provided on an as is basis without warranty of any kind. 1053300012 is maintained by the National Plan & Provider Enumeration System. The contents of The Surgery Center Of Poplar Bluff are for informational purposes only.