Eadens-grimball Internal Medicine Associates

NPI 1366539223 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1366539223
Enumeration Date 10/10/2006
Last Updated 02/16/2015
Entity Type Healthcare Provider
Active Over 10 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
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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.