Provider Plus, INC
NPI #1649227463 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1649227463
- Entity Type
- Organization
- Organization Name
- Provider Plus, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 27, 2006
- Last Updated
- Oct 15, 2025
Practice Location
- Address
- 769 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-4724
- Phone
- (573) 686-1589
Authorized Official
- Name
- WENDY RUSSALESI
- Title
- CCO
- Phone
- (484) 246-9499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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