Organization
INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC
Active
Organization
INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC
Active
Other names
Physicians Park Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. F. MICHAEL CALDWELL M.D. (PHYSICIAN)
(573) 727-5500
Entity
Organization
Contact information
Practice address
225 PHYSICIANS PARK, SUITE 400, POPLAR BLUFF, MO 63901-3956
(573) 727-5500
(573) 778-0581
Mailing address
225 PHYSICIANS PARK, SUITE 400, POPLAR BLUFF, MO 63901-3956
(573) 727-5500
(573) 778-0581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505183400
—
MO
Enumeration date
05/19/2006
Last updated
11/14/2008
Update your record
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