| NPI | 1750760922 |
|---|---|
| Doing Business As | OWENSBORO HEALTH MEDICAL GROUP - SURGICAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 208D00000X General Practice | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2022-12-28 |