ICDOC LLC

POPLAR BLUFF, MO
NPI1629756929
Entity TypeOrganization
Authorized ContactSHELLY GRESHAM
Member, Administrator
573-776-0157
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2023-07-06
Last Update Date2023-07-06
Business Address
ICDOC LLC
2445 N WESTWOOD BLVD STE 100
POPLAR BLUFF, MO 63901-2317
Phone number: 573-776-0157
Mailing Address
ICDOC LLC
2445 N WESTWOOD BLVD STE 100
POPLAR BLUFF, MO 63901-2317
Phone number: 573-776-0157
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