Organization
OZARK PHYSICAL MEDICINE CENTER FOR OPERATIONS OZARK PLAZA AND MEDICAL
Active
Other names
Ozark Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TINSLEY (OWNDER)
(573) 686-5510
Entity
Organization
Contact information
Practice address
2725 N WESTWOOD BLVD STE 16, POPLAR BLUFF, MO 63901-2367
(573) 686-5510
Mailing address
2725 N WESTWOOD BLVD STE 16, POPLAR BLUFF, MO 63901-2367
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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