Organization
MILTON R. EICHMANN M.D., PSC
Active
Other names
Bluff Urology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON R EICHMANN MD (OWNER)
(573) 686-7575
Entity
Organization
Contact information
Practice address
2530 LUCY LEE PKWY STE 1, POPLAR BLUFF, MO 63901-2436
(573) 686-7575
(573) 686-5199
Mailing address
2530 LUCY LEE PKWY STE 1, POPLAR BLUFF, MO 63901-2436
(573) 686-7575
(573) 686-5199
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2003026717
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0774800001
DME NUMBER
MO
05
—
506149400
—
MO
Enumeration date
04/07/2006
Last updated
06/17/2008
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