Organization
INFECTIOUS DISEASES ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA WELLS (PRACTICE MANAGER)
(270) 444-9889
Entity
Organization
Contact information
Practice address
1903 BROADWAY ST, PADUCAH, KY 42001-7105
(270) 444-9889
(270) 444-9291
Mailing address
1903 BROADWAY ST, PADUCAH, KY 42001-7105
(270) 444-9889
(270) 444-9291
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
08/23/2005
Last updated
07/15/2019
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