| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1386998318 | BLACK RIVER MEDICAL GROUP, LLC | 217 PHYSICIANS PARK DRIVE | POPLAR BLUFF | MO | 639013956 | |||
| 1407845472 | POPLAR BLUFF MEDICAL PARTNERS, LLC | 221 PHYSICIANS PARK | POPLAR BLUFF | MO | 639013956 |