Elite Obstetrics and Gynecology LLC
NPI #1538915210 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1538915210
- Entity Type
- Organization
- Organization Name
- Elite Obstetrics and Gynecology LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Apr 24, 2024
- Last Updated
- May 6, 2024
Practice Location
- Address
- 225 PHYSICIANS PARK STE 305
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3935
- Phone
- (573) 772-4340
Authorized Official
- Name
- TRACY GIBBS
- Title
- MANAGING DIRECTOR
- Phone
- (636) 751-5598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Obstetrics & Gynecology |
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