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Organization
PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY
Active
Organization
PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E VERBIST MD (MEMBER/MANAGER)
(270) 709-1984
Entity
Organization
Contact information
Practice address
2605 KENTUCKY AVE STE 100, PADUCAH, KY 42003-3800
(270) 709-1984
(270) 933-1047
Mailing address
2605 KENTUCKY AVE STE 100, PADUCAH, KY 42003-3800
(270) 709-1984
(270) 933-1047
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
04/06/2022
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