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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF MISSOURI

Active Organization

STATE OF MISSOURI is a Family Medicine organization located in POPLAR BLUFF, Missouri. NPI 1740560580 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · POPLAR BLUFF, MO

Registration Details

NPI Number
1740560580
Provider Type
Organization
NPI Issued
Aug 25, 2011 (14.979509890961 yrs)
Last Updated
Oct 15, 2020

Practice Information

Address
2351 KANELL BLVD
POPLAR BLUFF, MO, 639014035
Browse MO providers · Browse ZIP 63901
Phone
5738409370
Fax
5738409373
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.