E-town Neurosurgery Llc

NPI 1093929184 - Physician Assistant - 363A00000X

NPI Details
NPI 1093929184
Enumeration Date 05/09/2007
Last Updated 01/13/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name THAD R. THAD
Position PHYSICIAN AND OWNER
Phone (270) 769-5551
Fax (270) 765-3919
Practice Location
1700 RING RD
ELIZABETHTOWN KY, 42701-9497, US
Phone (270) 769-5551
Fax (270) 765-3919
Business Location
1700 RING RD
ELIZABETHTOWN KY, 42701-9497, US
Phone (270) 769-5551
Fax (270) 765-3919
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, E-town Neurosurgery Llc NPI is 1093929184, taxonomy code is 363A00000X E-town Neurosurgery Llc physically located at 1700 Ring Rd, Elizabethtown KY, 42701-9497. NPI Number 1033115704 has the healthcare provider type.

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1093929184 NPI number is provided on an as is basis without warranty of any kind. 1093929184 is maintained by the National Plan & Provider Enumeration System. The contents of E-town Neurosurgery Llc are for informational purposes only.