Organization
TH CONTRACTING SERVICES OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL L. DABBS M.D. (PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(573) 785-7721
Mailing address
PO BOX 635005, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506128503
—
MO
Enumeration date
05/27/2006
Last updated
06/10/2008
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