Organization
EXECUTIVE PULMONARY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS DANIELS MD (OWNER)
(573) 776-7740
Entity
Organization
Contact information
Practice address
1906A GREENWOOD DR, POPLAR BLUFF, MO 63901-2430
(573) 776-7740
(573) 776-7750
Mailing address
PO BOX 1087, POPLAR BLUFF, MO 63902-1087
(573) 785-4601
(573) 686-0178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2003009194
MO
Other
Enumeration date
04/07/2006
Last updated
08/22/2020
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