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Organization
IPC PAC HEALTHCARE SERVICES OF MISSOURI INC
Active
Organization
IPC PAC HEALTHCARE SERVICES OF MISSOURI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL DABBS M.D. (PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
760 PLANTATION BLVD STE 210, SIKESTON, MO 63801-5736
(573) 471-0800
Mailing address
265 BROOKVIEW CENTRE WAY, STE 400, KNOXVILLE, TN 37919-4052
(865) 693-1000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
06/08/2016
Last updated
08/21/2026
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