Organization
MIDWEST OB GYN OF MISSOURI, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R PATTY D.O. (PHYSICIAN)
(573) 772-7000
Entity
Organization
Contact information
Practice address
2210 BARRON RD, POPLAR BLUFF, MO 63901-1908
(573) 686-4133
(573) 686-1315
Mailing address
2210 BARRON RD, POPLAR BLUFF, MO 63901-1908
(573) 686-4133
(573) 686-1315
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243029600
—
MO
Enumeration date
05/19/2006
Last updated
03/26/2021
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