EBO MD OF POPLAR BLUFF LLC

POPLAR BLUFF, MO
NPI1770152035
Entity TypeOrganization
Authorized ContactPHILIP JAMES CROCKER
CFO
573-686-5510
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2021-06-22
Last Update Date2021-07-26
Business Address
EBO MD OF POPLAR BLUFF LLC
2725 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-2346
Phone number: 573-686-5510
Mailing Address
EBO MD OF POPLAR BLUFF LLC
2725 N WESTWOOD BLVD STE 14
POPLAR BLUFF, MO 63901-2367
Phone number: 573-686-5510
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