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Organization

MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES

Active
Parent organization
MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES
Other names
Premier Orthopedics & Sports Medicine DME
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES
Authorized official
MS. CARMEL JONES (COO/VP FINANCE)
(606) 330-6015
Entity
Organization

Contact information

Practice address
160 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 864-0770
(606) 864-1461
Mailing address
740 E LAUREL RD, LONDON, KY 40741-8601
(859) 276-6611
(859) 276-5939

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
KY

Other

Enumeration date
02/22/2011
Last updated
02/22/2011
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