Children's Clinic
NPI #1609037381 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1609037381
- Entity Type
- Organization
- Organization Name
- Children's Clinic
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jun 24, 2008
- Last Updated
- Jun 24, 2008
Practice Location
- Address
- 2500 LUCY LEE PKWY
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-2436
- Phone
- (573) 686-2585
Authorized Official
- Name
- DR. RANGSAN SUVAN, M.D.
- Title
- OWNER/PHYSICIAN
- Phone
- (573) 686-2585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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