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Individual

JOSEPH C GASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0478
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0478

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32996
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000044759
ANTHEM
KY
01
1103839
PASSPORT
KY
01
160039848
RAILROAD MEDICARE
KY
05
64329964
KY
Enumeration date
06/09/2005
Last updated
07/02/2014
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