Organization
POPLAR BLUFF RADIOLOGY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MCVEY (SECRETARY/TREASURER)
(573) 718-0181
Entity
Organization
Contact information
Practice address
1720 KANELL BLVD, SUITE1, POPLAR BLUFF, MO 63901-4009
(573) 778-1336
(573) 778-1336
Mailing address
PO BOX 1618, POPLAR BLUFF, MO 63902-1618
(573) 778-1336
(573) 778-1336
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R4N69
MO
Other
Enumeration date
11/12/2007
Last updated
10/16/2013
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