Organization
ORTHOPAEDIC SURGICAL SPECIALISTS,PSC
Active
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
Update your record
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