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Organization
UROLOGY GROUP OF PADUCAH, P.S.C.
Active
Organization
UROLOGY GROUP OF PADUCAH, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L SPICER M.D. (PRESIDENT)
(270) 442-3539
Entity
Organization
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 102, PADUCAH, KY 42003-3818
(270) 442-3539
(270) 442-2051
Mailing address
2603 KENTUCKY AVE, SUITE 102, PADUCAH, KY 42003-3814
(270) 442-3539
(270) 442-2051
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152170001
MEDICARE DMERC
KY
Enumeration date
10/11/2006
Last updated
12/04/2007
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