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Individual

DR. JAMES BUTLER BRIEN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 MEDICAL CENTER DR, SUITE 405, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770
Mailing address
225 MEDICAL CENTER DR, SUITE 405, PADUCAH, KY 42003-7914
(270) 441-4750
(270) 441-4770

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38115
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000361158
BCBS
05
64085012
KY
01
P00272810
RAILROAD MEDICARE
Enumeration date
10/02/2006
Last updated
08/03/2012
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