Organization
BELLEFONTE PHYSICIAN SERVICES, INC
Active
Other names
Bellefonte Digestive Disease Center
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
1101 SAINT CHRISTOPHER DR STE 350, ASHLAND, KY 41101-7000
(606) 833-6350
(606) 833-6352
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(877) 214-4267
(606) 833-4668
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000006921893
ANTHEM BCBS
KY
01
—
DN8303
RRMC
KY
Enumeration date
12/09/2010
Last updated
05/17/2019
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