IndividualActive
Juan Salazar, M.D.
NPI 1922041995 · Child & Adolescent Psychiatry Physician · Poplar Bluff, MO
Provider details
- NPI number
- 1922041995
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2000174358 (MO)
Practice location
1140 Herschel Bess Blvd
Poplar Bluff, MO 63901-3075
Phone: (573) 686-1200
Fax: (573) 686-1029
Mailing address
5716 Lake Shore Dr
Poplar Bluff, MO 63901-9648
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2024-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.