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 |