BLACK RIVER MEDICAL GROUP LLC NPI 1386998318

NPI Details

BLACK RIVER MEDICAL GROUP, LLC is a surgery in Poplar Bluff, MO. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BLACK RIVER MEDICAL GROUP, LLC NPI is 1386998318. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Black River Medical Partners.

The provider's business location address is:

225 PHYSICIANS PARK
SUITE 204
POPLAR BLUFF, MO
ZIP 63901-956
Phone: (573) 785-4601

The provider's authorized official is Michael G Burcham .
The authorized official title is President & Ceo and has the following contact phone number (573) 727-9125.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 11/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: