| NPI | 1952550485 |
|---|---|
| Doing Business As | POPLAR BLUFF WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAULA J MCALISTER Administrator 573-778-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 36720) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |