Organization
PADUCAH GASTROENTEROLOGY ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY BODNARCHUK M.D. (OWNER)
(270) 443-0777
Entity
Organization
Contact information
Practice address
2605 KENTUCKY AVE, SUITE 306, PADUCAH, KY 42003-3800
(270) 443-0777
(270) 443-0999
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/12/2009
Last updated
12/29/2009
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