Icdoc Llc

Specialty details in registry · Poplar Bluff, MO

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At a glance

2445 N Westwood Blvd Ste 100, Poplar Bluff, MO 63901-2317

NPPES record updated Jul 6, 2023. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

2445 N Westwood Blvd Ste 100
Poplar Bluff, MO 63901-2317

Professional details: NPI, taxonomy & registry record

NPI1629756929

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QP2300X
Enumeration date: Jul 6, 2023
Record updated: Jul 6, 2023

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QP2300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2445 N Westwood Blvd Ste 100
Poplar Bluff, MO 63901-2317

Phone: (573) 776-0157

Mailing address

2445 N WESTWOOD BLVD STE 100

POPLAR BLUFF, MO 639012317

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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