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Organization

MORNING STAR SURGICAL SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD TOM MD (OWNER)
(270) 692-0735
Entity
Organization

Contact information

Practice address
325 W WALNUT ST, STE 300, LEBANON, KY 40033-1377
(270) 692-0735
(270) 699-3783
Mailing address
325 W WALNUT ST, STE 300, LEBANON, KY 40033-1377
(270) 692-0735
(270) 699-3783

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39872
KY

Other

Enumeration date
08/14/2006
Last updated
08/22/2020
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