Organization
DENNIS G SHOFF MD PSC
Active
Organization
DENNIS G SHOFF MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS GERALD SHOFF MD (OWNER HEALTHCARE PROVIDER)
(270) 765-6141
Entity
Organization
Contact information
Practice address
1310 WOODLAND DRIVE, ELIZABETHTOWN, KY 42701
(270) 765-6141
(270) 765-6141
Mailing address
1310 WOODLAND DRIVE, ELIZABETHTOWN, KY 42701
(270) 765-6141
(270) 765-6141
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062512
BCBS
—
01
—
160005568
RAILROAD MEDICARE
—
05
—
2435204000
—
KY
Enumeration date
07/11/2008
Last updated
07/11/2008
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