Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ebo MD of Poplar Bluff LLC

Organization Family Medicine Physician · NPI 1770152035

Ebo MD of Poplar Bluff LLC provides Family Medicine Physician services in Poplar Bluff, Missouri. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2725 N Westwood Blvd
Poplar Bluff, MO 63901-2346
Phone: (573) 686-5510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1770152035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Crocker — Cfo · (573) 686-5510
NPI enumeratedJune 22, 2021
Last updated in NPPESJuly 26, 2021
Certification dateJuly 1, 2021
Mailing address2725 N Westwood Blvd Ste 14, Poplar Bluff, MO 63901-2367

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