Poplar Bluff Neurology Center, PC
Clinic/Center, Medical Specialty in Poplar Bluff, MO. Organization (NPI-2).
NPI number1154650331
StatusActive
Last updated in NPPESMar 11, 2015
Details
- NPI
- 1154650331
- Entity type
- Organization (NPI-2)
- Legal business name
- Poplar Bluff Neurology Center, PC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2009
- Last updated
- Mar 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 104541 | MO | Yes |
Practice location
2210 Barron RdSuite 112
Poplar Bluff, MO 63901-1908
Phone 573-785-0889 · Fax 573-785-2011
Mailing address
2210 Barron RdSuite 112
Poplar Bluff, MO 63901-1908
Phone 573-785-0889 · Fax 573-785-2011
Authorized official
Shahid Karim Choudhary
Presedent
5737850889
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