| NPI | 1548866072 |
|---|---|
| Doing Business As | OWENSBORO HEALTH MEDICAL GROUP-ORTHOPEDICS AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2023-04-24 |