Organization
INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC
Active
Other names
Physicians Park Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN CRITES (ADMINISTRATOR)
(573) 727-5500
Entity
Organization
Contact information
Practice address
225 PHYSICIANS PARK, POPLAR BLUFF, MO 63901-3956
(573) 727-5500
(573) 686-1315
Mailing address
225 PHYSICIANS PARK, POPLAR BLUFF, MO 63901-3956
(573) 727-5500
(573) 686-1315
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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