Organization · Type 2 NPI

Black River Medical Group, LLC

Surgery Physician · Poplar Bluff, MO

NPI number 1386998318 Active

Practice location

225 Physicians Park, Suite 204
Poplar Bluff, MO 63901-3956

Mailing address

217 Physicians Park Drive
Poplar Bluff, MO 63901-3956

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1386998318

Black River Medical Group, LLC's National Provider Identifier is 1386998318, issued on Oct 29, 2012. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Nov 26, 2012.