Organization
SEMO GYNECOLOGY LLC
Active
Organization
SEMO GYNECOLOGY LLC
Active
Other names
CARL PATTY MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL F PATTY M.D. (PHYSICIAN)
(573) 686-4133
Entity
Organization
Contact information
Practice address
2210 BARRON RD, POPLAR BLUFF, MO 63901-1908
(573) 686-4133
(573) 778-1099
Mailing address
2210 BARRON RD, POPLAR BLUFF, MO 63901-1908
(573) 686-4133
(573) 778-1099
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201645538
—
MO
Enumeration date
05/19/2006
Last updated
04/11/2017
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