Organization
MISSOURI HB MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI KEETON (SR. DIRECTOR)
(877) 892-9815
Entity
Organization
Contact information
Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 776-9290
(659) 235-6176
Mailing address
PO BOX 680060, FRANKLIN, TN 37068-0060
(877) 848-1457
(659) 235-6176
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/21/2024
Last updated
03/25/2024
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