Graduated: 1996
NPI: 1346300969
Practice Locations (3)
IES MISSOURI LLC
3100 OAK GROVE RD
POPLAR BLUFF, MO 639011573
5737762000
IES MISSOURI LLC
1100 N KENTUCKY AVE
WEST PLAINS, MO 657752029
4172569111
OZARKS MEDICAL CENTER
1100 N KENTUCKY AVE
WEST PLAINS, MO 657752029
41725691116036
Source: CMS National Downloadable File, September 2026.