| NPI | 1154738987 |
|---|---|
| Doing Business As | OWENSBORO HEALTH MEDICAL GROUP - ORTHOPEDICS & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207X00000X Orthopaedic Surgery | |
| 363AS0400X Physician Assistant, Surgical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2022-12-01 |