Organization
ZUBRES RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ZUBRES (PRESIDENT)
(573) 222-7441
Entity
Organization
Contact information
Practice address
221 PHYSICIANS PARK, POPLAR BLUFF, MO 63901-3956
(573) 727-9080
Mailing address
PO BOX 459, POPLAR BLUFF, MO 63902-0459
(573) 222-7441
(573) 222-7479
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015665
MEDICARE ID
—
01
—
1191801
BCBS OF MO
MO
01
—
1198060
FIRST HEALTH
—
05
—
159670003
—
AR
01
—
211107
HEALTHLINK INC
—
05
—
242912434
—
MO
01
—
DN3307
RAILROAD MEDICARE
MO
01
—
P00254931
RAILROAD MEDICARE
MO
Enumeration date
12/29/2005
Last updated
09/23/2008
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