Organization
ASHLAND PRIMARY CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A BOND MD (PRESIDENT)
(606) 329-0977
Entity
Organization
Contact information
Practice address
1200 CENTRAL AVE, SUITE 1, ASHLAND, KY 41101
(606) 329-0977
(606) 324-0541
Mailing address
1200 CENTRAL AVE, SUITE 1, ASHLAND, KY 41101
(606) 329-0977
(606) 324-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049259
ANTHEM
KY
05
—
65931339
—
KY
Enumeration date
12/18/2006
Last updated
09/25/2007
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