# TINSLEY MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558323386
- **Authorized official:** DR. AUSTIN R TINSLEY MD (OWNER)
- **Authorized official phone:** (573) 686-1144

## Contact information

- **Practice address:** 2400 LUCY LEE PKWY, POPLAR BLUFF, MO 63901-2429
- **Practice address phone:** (573) 686-1144
- **Practice address fax:** (573) 686-3312
- **Mailing address:** 2400 LUCY LEE PKWY, POPLAR BLUFF, MO 63901-2429
- **Mailing address phone:** (573) 686-1144
- **Mailing address fax:** (573) 686-3312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34610 | MO | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | MO | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 11/02/2011