Organization · Type 2 NPI

Poplar Bluff Radiology Services Inc

Diagnostic Radiology Physician · Poplar Bluff, MO

NPI number 1073793642 Active

Practice location

1720 Kanell Blvd, SUITE1
Poplar Bluff, MO 63901-4009

Fax (573) 778-1336

Mailing address

PO Box 1618
Poplar Bluff, MO 63902-1618

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XR4N69 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1073793642

Poplar Bluff Radiology Services Inc's National Provider Identifier is 1073793642, issued on Nov 12, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Poplar Bluff, MO. The record was last updated on Oct 16, 2013.