Individual
HAVEN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(573) 785-7721
Mailing address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2022048555
MO
2084P0800X
Psychiatry Physician
T4251
TX
Other
Enumeration date
06/14/2019
Last updated
07/18/2023
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