Great Physician Health Services

NPI 1013145705 - Internal Medicine - 207R00000X

NPI Details
NPI 1013145705
Enumeration Date 07/01/2009
Last Updated 09/08/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MICHAEL BRIAN MICHAEL
Position OWNER
Phone (270) 726-9568
Fax (270) 726-9570
Practice Location
975 HOPKINSVILLE RD
RUSSELLVILLE KY, 42276-9774, US
Phone (270) 726-9568
Fax (270) 726-9570
Business Location
975 HOPKINSVILLE RD
RUSSELLVILLE KY, 42276-9774, US
Phone (270) 726-9568
Fax (270) 726-9570
Toxanomy
Taxonomy Code 207R00000X
License State Kentucky
License Number 42900
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According to our database, Great Physician Health Services NPI is 1013145705, taxonomy code is 207R00000X and license number is 42900, license state is located at Kentucky. Great Physician Health Services physically located at 975 Hopkinsville Rd, Russellville KY, 42276-9774. NPI Number 1033115704 has the healthcare provider type.

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1013145705 NPI number is provided on an as is basis without warranty of any kind. 1013145705 is maintained by the National Plan & Provider Enumeration System. The contents of Great Physician Health Services are for informational purposes only.