Individual
MRS. PHILMA BALITE OPINALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 PHYSICIANS PARKWAY, SUITE 303, POPLAR BLUFF, MO 63901
(573) 785-6536
(573) 785-0345
Mailing address
PO BOX 157, ELLINGTON, MO 63638-0157
(573) 663-2313
(573) 663-2322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2000153653
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-01168
UNITED HEALTH CARE
MO
01
—
131372
BLUE CROSS/BLUE SHIELD
MO
05
—
205048408
—
MO
01
—
441968
HEALTHLINK
MO
Enumeration date
08/30/2006
Last updated
12/24/2009
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