Individual
DR. PAUL SANDIDGE YORK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2190 N JACKSON HWY, GLASGOW, KY 42141-9096
(270) 651-8117
Mailing address
2190 N JACKSON HWY, GLASGOW, KY 42141-9096
(270) 651-8117
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
17529
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00304552
AUA #
—
01
—
17529
STATE MEDICAL LICENSE
KY
Enumeration date
03/09/2007
Last updated
03/07/2023
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