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1730168592
WENDELL H ELLIOTT
POPLAR BLUFF, MO
NPI
1730168592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO R5G12)
Enumeration Date
2006-01-11
Last Update Date
2015-11-05
Business Address
-- WENDELL H ELLIOTT MD
686 LESTER ST
POPLAR BLUFF, MO 63901-5025
Phone number: 573-686-2411
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Mailing Address
-- WENDELL H ELLIOTT MD
PO BOX 220
POPLAR BLUFF, MO 63902-0220
Phone number: 573-686-2411
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