Organization
ORTHOPAEDIC ASSOCIATES OF MURRAY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A YEZERSKI M.D. (PRESIDENT)
(270) 759-1444
Entity
Organization
Contact information
Practice address
300 S 8TH ST STE 178W, MURRAY, KY 42071-2444
(270) 759-1444
(270) 759-1040
Mailing address
300 S 8TH ST STE 178W, MURRAY, KY 42071-2444
(270) 759-1444
(270) 759-1040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
KY
363A00000X
Physician Assistant
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000690958
ANTHEM
KY
05
—
7100198370
—
KY
Enumeration date
07/02/2010
Last updated
10/09/2012
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