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Organization
COMMONWEALTH BIOMEDICAL RESEARCH, LLC
Active
Organization
COMMONWEALTH BIOMEDICAL RESEARCH, LLC
Active
Parent organization
COMMONWEALTH BIOMEDICAL RESEARCH
Other names
Crofton Family Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONWEALTH BIOMEDICAL RESEARCH
Authorized official
BRET A. WITTMER D.V.M. / M.D. (OWNER)
(270) 825-8345
Entity
Organization
Contact information
Practice address
136 E PRINCETON ST, CROFTON, KY 42217-8018
(270) 424-8885
(270) 424-5193
Mailing address
240 E AYR PKY, MADISONVILLE, KY 42431-8999
(270) 825-8345
(270) 825-2975
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/03/2008
Last updated
08/12/2009
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