BLACK RIVER MEDICAL GROUP, LLC

POPLAR BLUFF, MO
NPI1386998318
Entity TypeOrganization
Authorized ContactMICHAEL G BURCHAM
President & CEO
573-727-9125
Organization Subpart ?Yes
Primary Taxonomy208600000X Surgery
Enumeration Date2012-10-29
Last Update Date2012-11-26
Business Address
BLACK RIVER MEDICAL GROUP, LLC
225 PHYSICIANS PARK SUITE 204
POPLAR BLUFF, MO 63901-3956
Phone number: 573-785-4601
Mailing Address
BLACK RIVER MEDICAL GROUP, LLC
217 PHYSICIANS PARK DRIVE
POPLAR BLUFF, MO 63901-3956
Phone number: 573-727-9125
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