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

Poplar Bluff Regional Medical Center, Inc

Organization Diagnostic Radiology Physician · NPI 1568503357

Poplar Bluff Regional Medical Center, Inc provides Diagnostic Radiology Physician services in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396 Not confirmed with CMS for 18 years — call before visiting
Phone: (573) 785-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence R7892 (MO)

Record details

NPI number1568503357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Erikson — Coo · (573) 785-7500
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJune 23, 2008
Mailing address1836 Lackland Hill Pkwy, Saint Louis, MO 63146-3572

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