Internal Medicine Associates of Southeast Missouri LLC

NPI #1629208848 in Poplar Bluff, Missouri

Provider Information

NPI Number
1629208848
Entity Type
Organization
Organization Name
Internal Medicine Associates of Southeast Missouri LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jul 22, 2009
Last Updated
Oct 12, 2009

Practice Location

Address
223 PHYSICIANS PARK
ZIP Code
63901-3956
Phone
(573) 727-5500

Authorized Official

Name
MRS. CAROLYNE CRITES
Title
ADMINISTRATOR
Phone
(573) 727-5500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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