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Individual

DR. ALLAN PRIBBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0478
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0478

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
30213
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000044732
ANTHEM
KY
01
060023592
RAILROAD MEDICARE
KY
01
1081403
PASSPORT
KY
05
64030216
KY
Enumeration date
06/21/2005
Last updated
07/02/2014
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