| NPI | 1154524478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA JEAN JOBSON Physician 606-678-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: KY 02704) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2013-03-22 |