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Organization

PAUL J JANSON MD PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL J JANSON MD (OWNER/PHYSICIAN)
(859) 212-4567
Entity
Organization

Contact information

Practice address
7370 TURFWAY RD, SUITE 280, FLORENCE, KY 41042-4895
(859) 212-4567
(859) 212-4768
Mailing address
7370 TURFWAY RD, SUITE 280, FLORENCE, KY 41042-4895
(859) 212-4567
(859) 212-4768

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100037670
KY
Enumeration date
04/29/2008
Last updated
10/28/2014
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