Organization
EUGENE C HANSBROUGH, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE HANSBROUGH MD (OWNER)
(573) 785-9955
Entity
Organization
Contact information
Practice address
686 LESTER ST, POPLAR BLUFF, MO 63901-5025
(573) 785-9955
Mailing address
PO BOX 550, POPLAR BLUFF, MO 63902-0550
(573) 785-4601
(573) 686-0178
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36376
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507507606
—
MO
01
—
5573580001
DME NUMBER
MO
Enumeration date
04/07/2006
Last updated
02/11/2010
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