O'bryan Family Medicine Pllc

NPI 1235367442 - Family Medicine - 207Q00000X

NPI Details
NPI 1235367442
Enumeration Date 06/25/2009
Last Updated 12/19/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOSEPH M JOSEPH
Position OWNER
Phone (270) 442-0240
Fax
Practice Location
5120 VILLAGE SQUARE DR
SUITE 103
PADUCAH KY, 42001-9060, US
Phone (270) 442-0240
Fax
Business Location
PO BOX 9150
PADUCAH KY, 42002-9150, US
Phone (270) 744-9600
Fax (270) 744-0834
Toxanomy
Taxonomy Code 207Q00000X
License State Kentucky
License Number 36713
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According to our database, O'bryan Family Medicine Pllc NPI is 1235367442, taxonomy code is 207Q00000X and license number is 36713, license state is located at Kentucky. O'bryan Family Medicine Pllc physically located at 5120 Village Square Dr, Paducah KY, 42001-9060. NPI Number 1033115704 has the healthcare provider type.

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1235367442 NPI number is provided on an as is basis without warranty of any kind. 1235367442 is maintained by the National Plan & Provider Enumeration System. The contents of O'bryan Family Medicine Pllc are for informational purposes only.