NPI | 1962821603 |
---|---|
Doing Business As | OWENSBORO HEALTH MEDICAL GROUP SPECIALTY CARE HENDERSON |
Entity Type | Organization |
Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
208600000X Surgery | |
208VP0000X Pain Medicine, Pain Medicine | |
363A00000X Physician Assistant | |
Enumeration Date | 2014-04-09 |
Last Update Date | 2022-12-28 |