MEDICARE: WOMAN TO WOMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0201X	Gynecologic Oncology Physician	2003010408	MO

General Provider Information

NPI Number	:	1265495642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMAN TO WOMAN

Provider Business Mailing Address
First Line	:	PO BOX 1087
Second Line	:
City	:	POPLAR BLUFF
State	:	MO
Zip	:	63902-1087
Country	:	US
Telephone Number	:	573-776-7740
Fax Number	:	573-776-7750

Provider Business Practice Location Address
First Line	:	1906A GREENWOOD DR
Second Line	:
City	:	POPLAR BLUFF
State	:	MO
Zip	:	63901-2430
Country	:	US
Telephone Number	:	573-776-7740
Fax Number	:	573-776-7750

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. POPPY DANIELS
Credential	:	MD
Telephone Number	:	573-776-7740

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	08/22/2020

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Practice Location Address:

1906A GREENWOOD DR
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1720041197 — EXECUTIVE PULMONARY MEDICINE, PC
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1023067931 — DR. MICHAEL STEVEN GINSBURG DDS
Practice Location Address:

1930 GREENWOOD DR , APT A
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63901-2430

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Practice Fax:

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Practice Location Address:

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1124035449 — DR. JOHN OWEN WOOD PSY.D.
Practice Location Address:

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Practice Fax:

1649385469 — JOHN PATRICK CHERVENAK M.R.C., C.R.C., L.P.
Practice Location Address:

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63901-2430

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Directions to “WOMAN TO WOMAN ” Practice Location

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