Individual
LAURENCE DOW HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(573) 785-7721
Mailing address
4579 LACLEDE AVE, SAINT LOUIS, MO 63108-2103
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2000146633
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208976308
—
MO
Enumeration date
06/10/2006
Last updated
01/06/2014
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