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Organization

THE DOC SHOPPE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE ROBERT JUNG MD (OWNER)
(606) 620-9770
Entity
Organization

Contact information

Practice address
1704 FOREST DR, CORBIN, KY 40701-2316
(606) 620-9770
(606) 620-9771
Mailing address
46 MARISA CT, CORBIN, KY 40701-8935
(606) 280-1514

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/10/2023
Last updated
04/10/2023
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