Saint Francis Medical Center
Organization Active NPI Surgery Physician · Poplar Bluff, MO
NPI 1386118917 · NPPES record last updated Jan 16, 2019
Key facts
- NPI
- 1386118917
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- SAINT FRANCIS MEDICAL CENTER
- Practice address
- 225 Physicians Park Ste 301
Poplar Bluff, MO 63901-3930 - Phone
- (573) 686-2220
- Fax
- (573) 686-5642
- NPI assigned
- Jan 16, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- SAINT FRANCIS MEDICAL CENTER
Authorized official
- Name
- Kim G Wittenborn, CPCS
- Title
- Manager
- Phone
- (573) 331-3080
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- St Francis Medical Cent
- Part of
- St Francis Medical Cent
Locations
225 Physicians Park
Ste 301
Poplar Bluff, MO 63901
Phone (573) 686-2220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
225 Physicians Park Ste 301
Poplar Bluff, MO 63901-3930
Mailing address
225 Physicians Park Ste 301
Poplar Bluff, MO 63901-3930
Phone (573) 686-2220
Other names
- Physicians Park General Surgery
Other providers in Poplar Bluff, MO
- Mahmoud Sagharichi
- Shazib Sagheer
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
All providers in Poplar Bluff, MO · Surgery Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.