Clinical Colleagues Inc
Organization Active NPI Anesthesiology Physician · Poplar Bluff, MN
NPI 1801137013 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1801137013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- CLINICAL COLLEAGUES INC
- Practice address
- 3100 Oak Grove
Poplar Bluff, MN 63902 - Phone
- (800) 494-3964
- NPI assigned
- Mar 13, 2013
- Organization subpart
- No
Authorized official
- Name
- Paul Gerdes
- Title
- Managing Partner
- Phone
- (800) 494-3964
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Angel Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
3100 Oak Grove
Poplar Bluff, MN 63902
Mailing address
PO Box 824246
Philadelphia, PA 19182-4246
Phone (954) 545-0337
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. 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.