Organization
ASTHMA & ALLERGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONOR PAGTAKHAN-SO M.D. (MEDICAL DOCTOR)
(606) 432-0174
Entity
Organization
Contact information
Practice address
474 VILLAGE LN, HAZARD, KY 41701-9405
(606) 439-4865
(606) 436-9953
Mailing address
PO BOX 2748, PIKEVILLE, KY 41502-2748
(606) 432-3221
(606) 437-0438
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
17816
KY
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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