John Quincy Elliott in Poplar Bluff - Family Medicine
John Quincy Elliott - NPI 1922090125
John Quincy Elliott is a Family Medicine in Poplar Bluff, Missouri. John Quincy Elliott practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Quincy Elliott is 1922090125. The last update date is 2015-05-20.
John Quincy Elliott's current location address is 2480 Three Rivers Blvd, Poplar Bluff, Missouri. You can contact this provider via phone number 5737854600 and fax number 5737854611. The mailing address for John Quincy Elliott is 2480 Three Rivers Blvd, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Quincy Elliott |
|---|---|
| Address | 2480 Three Rivers Blvd, Poplar Bluff, Missouri |
| Phone Number | 5737854600 |
| Fax Number | 5737854611 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1922090125 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2015-05-20 |
Provider Mailing Address Detail
| Address | 2480 Three Rivers Blvd |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639012318 |
| Phone Number | 5737854600 |
| Fax Number | 5737854611 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 02002722A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200111230A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John Quincy Elliott by the Centers for Medicare & Medicaid Services?
The John Quincy Elliott has been issued the NPI (National Provider Identifier) 1922090125, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John Quincy Elliott's facilities are geographically located?
The facilities of John Quincy Elliott are physically situated at the following location: 2480 Three Rivers Blvd, Poplar Bluff, MO, 639012318.
What is the John Quincy Elliott's specialty and taxonomy code?
The John Quincy Elliott's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did John Quincy Elliott receive its 1922090125 assignment from the Centers for Medicare & Medicaid Services?
The John Quincy Elliott was assigned its 1922090125 on 2005-08-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to John Quincy Elliott most recently updated or refreshed?
The details pertaining to the John Quincy Elliott, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-05-20.
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