Executive Pulmonary Medicine, PC
NPI #1720041197 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1720041197
- Entity Type
- Organization
- Organization Name
- Executive Pulmonary Medicine, PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 7, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1906A GREENWOOD DR
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-2430
- Phone
- (573) 776-7740
Authorized Official
- Name
- MR. DENNIS DANIELS, MD
- Title
- OWNER
- Phone
- (573) 776-7740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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