| Advanced Family Healthcare Clinic | |
|
2002 Kanell Blvd Suite 101 Poplar Bluff MO 63901-4042 | |
| (573) 778-9292 | |
| (573) 778-0801 |
| Full Name | Advanced Family Healthcare Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 2002 Kanell Blvd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Paula E. Harris (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5737780020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Healthcare Clinic Po Box 989 Poplar Bluff MO 63902-0989 Ph: (573) 778-0020 | Advanced Family Healthcare Clinic 2002 Kanell Blvd Suite 101 Poplar Bluff MO 63901-4042 Ph: (573) 778-9292 |
| NPI Number | 1124195391 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 07/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124195391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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