Organization
CUMBERLAND ORTHOPAEDIC & SPORTS MEDINCE-PHYSICIAN ASSISTANT
Active
Parent organization
CUMBERLAND ORTHOPAEDIC & SPORTS MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CUMBERLAND ORTHOPAEDIC & SPORTS MEDICINE
Authorized official
MR. JEAN M PAGE' M.D. (PRESIDENT OWNER)
(606) 864-0770
Entity
Organization
Contact information
Practice address
160 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 864-0770
(606) 864-1461
Mailing address
160 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 864-0770
(606) 864-1461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA841
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95901328
—
KY
Enumeration date
04/15/2009
Last updated
04/15/2009
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