| NPI | 1023574365 |
|---|---|
| Doing Business As | SAINT FRANCIS CLINIC POPLAR BLUFF NORTHWEST MEDICAL |
| Entity Type | Organization |
| Authorized Contact | KIM GILLILAND Credentialing 573-331-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2021-09-17 |