Organization
O'BRYAN FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M O'BRYAN MD (OWNER)
(270) 442-0240
Entity
Organization
Contact information
Practice address
5120 VILLAGE SQUARE DR, SUITE 103, PADUCAH, KY 42001-9060
(270) 442-0240
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36713
KY
Other
Enumeration date
06/25/2009
Last updated
12/19/2011
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