Individual
PHILLIP BLOTEVOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 KENTUCKY AVE STE 201, PADUCAH, KY 42003-3825
(270) 538-9555
(270) 538-9554
Mailing address
2601 KENTUCKY AVE STE 201, PADUCAH, KY 42003-3825
(270) 538-9555
(270) 538-9554
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
59247
KY
Other
Enumeration date
03/26/2019
Last updated
06/24/2024
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