PADUCAH DERMATOLOGY SURGERY CENTER, PLLC

PADUCAH, KY
NPI1689401465
Entity TypeOrganization
Authorized ContactJOSEPH BLACKMON
Medical Director
270-444-8477
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2024-09-17
Last Update Date2024-09-17
Business Address
PADUCAH DERMATOLOGY SURGERY CENTER, PLLC
127 ALBEN BARKLEY DR STE A
PADUCAH, KY 42001-4402
Phone number: 636-219-6045
Mailing Address
PADUCAH DERMATOLOGY SURGERY CENTER, PLLC
10 WALNUT SPRINGS RD
DEFIANCE, MO 63341-2814
Phone number: 636-219-6045
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