BLUEGRASS DERMATOLOGY, PLLC

PADUCAH, KY
NPI1881740884
Entity TypeOrganization
Authorized ContactDOUGLAS M WILSON
Owner
270-443-7546
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: KY  36202)
Enumeration Date2007-01-25
Last Update Date2011-04-01
Business Address
BLUEGRASS DERMATOLOGY, PLLC
4616 VILLAGE SQUARE DRIVE
PADUCAH, KY 42001-7501
Phone number: 270-443-7546
Mailing Address
BLUEGRASS DERMATOLOGY, PLLC
4616 VILLAGE SQUARE DRIVE
PADUCAH, KY 42001-7501
Phone number: 270-443-7546
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