Organization
DALLAS MEDICAL P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIKA DENISE DALLAS M.D. (PRESIDENT)
(270) 444-9934
Entity
Organization
Contact information
Practice address
4645 VILLAGE SQUARE DRIVE, SUITE A, PADUCAH, KY 42001
(270) 444-9934
(270) 444-9937
Mailing address
4645 VILLAGE SQUARE DR, SUITE A, PADUCAH, KY 42001-7448
(270) 444-9934
(270) 444-9937
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35228
KY
Other
Enumeration date
02/21/2007
Last updated
03/03/2009
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