Organization
C & S FAMILY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO A CRABTREE MSN, RN, FNP-BC (OWNER)
(573) 785-4600
Entity
Organization
Contact information
Practice address
65 COUNTY ROAD 527, POPLAR BLUFF, MO 63901-8029
(573) 785-4600
(573) 785-3611
Mailing address
65 COUNTY ROAD 527, POPLAR BLUFF, MO 63901-8029
(573) 785-4600
(573) 785-3611
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
RN135427
MO
363L00000X
Nurse Practitioner
RN135427
MO
Other
Enumeration date
08/17/2011
Last updated
07/28/2016
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