Organization
LOW BLUFFS EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L MURPHY (EXECUTIVE/VICE PRESIDENT)
(800) 732-1066
Entity
Organization
Contact information
Practice address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(800) 327-0275
Mailing address
533 W NORTH AVE, 102, ELMHURST, IL 60126-2135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215535
BLUE SHIELD
MO
01
—
516170
BLUE SHIELD
MO
Enumeration date
09/15/2006
Last updated
04/20/2008
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