Graduated: 2016
NPI: 1528787652
Practice Locations (2)
IES HSP MISSOURI LLC
3100 OAK GROVE RD
POPLAR BLUFF, MO 639011573
5737857721
IES HSP MISSOURI LLC
1100 N KENTUCKY AVE
WEST PLAINS, MO 657752029
4172576789
Source: CMS National Downloadable File, September 2026.