PHILLIP BLOTEVOGEL

PADUCAH, KY
NPI1346701109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: KY  59247)
Enumeration Date2019-03-26
Last Update Date2024-06-24
Business Address
PHILLIP BLOTEVOGEL
2601 KENTUCKY AVE STE 201
PADUCAH, KY 42003-3825
Phone number: 270-538-9555
Mailing Address
PHILLIP BLOTEVOGEL
2601 KENTUCKY AVE STE 201
PADUCAH, KY 42003-3825
Phone number: 270-538-9555
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