# WESTWOOD MEDICAL CLINIC, INC.

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

## Provider details

- **NPI number:** 1578894515
- **Authorized official:** DR. CHUL KIM M.D. (PRESIDENT)
- **Authorized official phone:** (573) 686-7223

## Contact information

- **Practice address:** 1919 BIG BEND RD, POPLAR BLUFF, MO 63901-2813
- **Practice address phone:** (573) 686-7223
- **Practice address fax:** (573) 686-7224
- **Mailing address:** 1919 BIG BEND RD, POPLAR BLUFF, MO 63901-2813
- **Mailing address phone:** (573) 686-7223
- **Mailing address fax:** (573) 686-7224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | R8374 | MO | Yes |

## Other

- **Enumeration date:** 01/14/2010
- **Last updated:** 01/14/2010