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Individual

DR. JAMES DAVID OUTLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 S 8TH ST, SUITE 405, MURRAY, KY 42071-2400
(270) 759-4500
(270) 761-1879
Mailing address
300 S 8TH ST, SUITE 405, MURRAY, KY 42071-2400
(270) 759-4500
(270) 761-1879

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34234
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64032352
KY
Enumeration date
07/12/2005
Last updated
10/19/2011
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