Whalio Doctors

NPI 1194874628

Maxine a Theriot, MD

Practitioner Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Poplar Bluff, MO

Practice location

Address
3098 Oak Grove Rd, Poplar Bluff, MO 63901-8938
Phone
(573) 686-8199
Fax
(573) 686-8398
Mailing address
709 W Rusk St STE B, Rockwall, TX 75087-3600

Registered specialties (3)

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083P0011X Licence 2022047286 (MO)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence J9578 (TX)
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 2083P0011X Licence J9578 (TX)

Registry record

NPI
1194874628
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jan 2007
Record last updated
13 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.