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Organization

ORTHOPAEDIC SURGICAL SPECIALISTS,PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH LEO POLIO M.D. (PRESIDENT OF PSC)
(270) 683-3538
Entity
Organization

Contact information

Practice address
2200 E PARRISH AVE, SUITE 201B, OWENSBORO, KY 42303-1449
(270) 683-3538
(270) 683-9494
Mailing address
2200 E PARRISH AVE, SUITE 201B, OWENSBORO, KY 42303-1449
(270) 683-3538
(270) 683-9494

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
363AS0400X
Surgical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65900755
KY
05
95900346
KY
Enumeration date
08/12/2006
Last updated
02/20/2009
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