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1720041197
EXECUTIVE PULMONARY MEDICINE, PC
POPLAR BLUFF, MO
NPI
1720041197
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Entity Type
Organization
Authorized Contact
DENNIS DANIELS
Owner
573-776-7740
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2003009194)
Enumeration Date
2006-04-07
Last Update Date
2020-08-22
Business Address
EXECUTIVE PULMONARY MEDICINE, PC
1906A GREENWOOD DR
POPLAR BLUFF, MO 63901-2430
Phone number: 573-776-7740
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Mailing Address
EXECUTIVE PULMONARY MEDICINE, PC
PO BOX 1087
POPLAR BLUFF, MO 63902-1087
Phone number: 573-785-4601
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