Organization
PLUNKETT FAMILY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LITTLETON J PLUNKETT M.D. (OWNER)
(573) 686-5564
Entity
Organization
Contact information
Practice address
2480 THREE RIVERS BLVD, POPLAR BLUFF, MO 63901-2318
(573) 686-5564
(573) 686-2838
Mailing address
2480 THREE RIVERS BLVD, POPLAR BLUFF, MO 63901-2318
(573) 686-5564
(573) 686-2838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R3284
MO
261QR1300X
Rural Health Clinic/Center
Primary
268906
MO
363LF0000X
Family Nurse Practitioner
089729
MO
363LF0000X
Family Nurse Practitioner
143295
MO
Other
Enumeration date
06/21/2005
Last updated
10/03/2007
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