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Organization
OBSTETRICS & GYNECOLOGY OF PADUCAH PSC
Active
Organization
OBSTETRICS & GYNECOLOGY OF PADUCAH PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART BLAIR TOLAR (PRESIDENT)
(270) 443-1220
Entity
Organization
Contact information
Practice address
2603 KENTUCKY AVE, SUITE 201, PADUCAH, KY 42003-3814
(270) 443-1220
(270) 443-0023
Mailing address
PO BOX 8209, PADUCAH, KY 42002-8209
(270) 443-1220
(270) 443-0023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
08/21/2006
Last updated
05/19/2011
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