Organization
TINSLEY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN R TINSLEY MD (OWNER)
(573) 686-1144
Entity
Organization
Contact information
Practice address
2400 LUCY LEE PKWY, POPLAR BLUFF, MO 63901-2429
(573) 686-1144
(573) 686-3312
Mailing address
2400 LUCY LEE PKWY, POPLAR BLUFF, MO 63901-2429
(573) 686-1144
(573) 686-3312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34610
MO
261QR1300X
Rural Health Clinic/Center
—
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3941210001
DME NUMBER
MO
05
—
5076174600
—
MO
Enumeration date
04/05/2006
Last updated
11/02/2011
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