Poplar Bluff Cancer & Radiation Specialist LLC
NPI #1104963354 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1104963354
- Entity Type
- Organization
- Organization Name
- Poplar Bluff Cancer & Radiation Specialist LLC
- Primary Specialty
- Radiology - Therapeutic Radiology
- Enumeration Date
- Jan 30, 2007
- Last Updated
- May 24, 2010
Practice Location
- Address
- 2620 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3396
- Phone
- (573) 686-5300
Authorized Official
- Name
- SUBHASH GUJARATI, M.D.
- Title
- PHYSICIAN
- Phone
- (573) 686-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Therapeutic Radiology — Therapeutic Radiology |
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