| NPI Details | |
|---|---|
| NPI | 1366539223 |
| Enumeration Date | 10/10/2006 |
| Last Updated | 02/16/2015 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | DEBRA JO DEBRA |
| Position | PHYSICIAN/OFFICE MANAGER |
| Phone | (606) 451-9953 |
| Fax | (606) 451-1533 |
| Practice Location | |
|---|---|
| 402 BOGLE ST STE 3 SOMERSET KY, 42503-2870, US |
|
| Phone | (606) 451-9953 |
| Fax | (606) 451-1533 |
| Business Location | |
|---|---|
| 402 BOGLE ST STE 3 SOMERSET KY, 42503-2870, US |
|
| Phone | (606) 451-9953 |
| Fax | (606) 451-1533 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 363LF0000X |
| License State | |
| License Number | |
| Remove 1366539223 NPI Number | |
According to our database, Eadens-grimball Internal Medicine Associates NPI is 1366539223, taxonomy code is 363LF0000X Eadens-grimball Internal Medicine Associates physically located at 402 Bogle St, Somerset KY, 42503-2870. NPI Number 1033115704 has the healthcare provider type.
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1366539223 NPI number is provided on an as is basis without warranty of any kind. 1366539223 is maintained by the National Plan & Provider Enumeration System. The contents of Eadens-grimball Internal Medicine Associates are for informational purposes only.
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