Individual
AUSTIN R TINSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 LUCY LEE PKWY, STE A, POPLAR BLUFF, MO 63901
(573) 686-1144
(573) 686-3312
Mailing address
2400 LUCY LEE PKWY, STE A, POPLAR BLUFF, MO 63901
(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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331452
—
MO
Enumeration date
02/03/2006
Last updated
10/13/2011
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