Maxine A Theriot, MD
NPI #1194874628 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1194874628
- Entity Type
- Individual
- Name
- Maxine A Theriot, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jul 13, 2023
Practice Location
- Address
- 3098 OAK GROVE RD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-8938
- Phone
- (573) 686-8199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Preventive Medicine - Undersea and Hyperbaric Medicine — Undersea and Hyperbaric Medicine |
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