Organization · Type 2 NPI

Poplar Bluff Cancer & Radiation Specialist LLC

Therapeutic Radiology Physician · Poplar Bluff, MO

NPI number 1104963354 Active

Practice location

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396

Mailing address

PO Box 958262
St. Louis, MO 63195-8262

Specialties and licenses

TaxonomyCodeLicense
Therapeutic Radiology Physician Primary 2085R0203XNone listed

Therapeutic Radiology Physician: Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

37 other providers at this address

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About NPI 1104963354

Poplar Bluff Cancer & Radiation Specialist LLC's National Provider Identifier is 1104963354, issued on Jan 30, 2007. The primary taxonomy on file is Therapeutic Radiology Physician (2085R0203X), and the practice location is in Poplar Bluff, MO. The record was last updated on May 24, 2010.