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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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