Individual
GENE FIORETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2360 KATY LN, POPLAR BLUFF, MO 63901-2300
(573) 686-3937
(573) 686-3958
Mailing address
2210 BARRON RD, POPLAR BLUFF, MO 63901-1908
(573) 686-3937
(573) 686-3958
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
119233
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689620635
—
WY
05
—
204647713
—
MO
Enumeration date
05/25/2006
Last updated
10/10/2008
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