Organization
DIANA M. STULC, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA MINASSIAN STULC M.D. (OWNER)
(270) 825-4204
Entity
Organization
Contact information
Practice address
444 S MAIN ST, MADISONVILLE, KY 42431-2871
(270) 825-4204
(270) 825-4274
Mailing address
444 S MAIN ST, MADISONVILLE, KY 42431-2871
(270) 825-4204
(270) 825-4274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N/A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NO GROUP #
—
KY
Enumeration date
03/08/2006
Last updated
08/22/2020
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