| NPI | 1225380108 |
|---|---|
| Doing Business As | POPLAR BLUFF PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | PAULA LALOR Director/Delegated Official 629-215-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2021-04-29 |