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Organization

VASCULAR ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL JAMES JONES MD (CEO/PRESIDENT)
(270) 538-5300
Entity
Organization

Contact information

Practice address
2601 KENTUCKY AVENUE, SUITE #202, PADUCAH, KY 42003-3825
(270) 538-5300
(270) 538-5308
Mailing address
2601 KENTUCKY AVENUE, SUITE #202, PADUCAH, KY 42003-3825
(270) 538-5300
(270) 538-5308

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01720731101
IL
05
65913998
KY
Enumeration date
08/23/2006
Last updated
06/16/2008
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