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Organization
ADAS
Active
Organization
ADAS
Active
Other names
JOHN W DRURY, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W DRURY MD (OWNER)
(270) 432-4800
Entity
Organization
Contact information
Practice address
1704 W STOCKTON ST, EDMONTON, KY 42129-8137
(270) 432-4800
(270) 432-4804
Mailing address
1704 W STOCKTON ST, EDMONTON, KY 42129-8137
(270) 432-4800
(270) 432-4804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35817
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000259494
ANTHEM
KY
05
—
64026123
—
KY
Enumeration date
05/15/2007
Last updated
08/22/2020
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