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Contact Information

HAVEN HILLS MEDICAL CLINIC
1611 LURLYN ROAD
POPLAR BLUFF, MO63901
 Phone: 573-785-7708
 Fax: 573-785-7700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HAVEN HILLS MEDICAL CLINIC · (Female)

NPI # 1750469763
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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