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Organization

JACKSON PURCHASE PULMONARY MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERTO DOS REMEDIOS M.D. (OWNER)
(270) 933-7823
Entity
Organization

Contact information

Practice address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1194
(270) 650-7163
(855) 430-0335
Mailing address
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1194
(270) 251-4040
(855) 430-0335

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
40940
KY
363L00000X
Nurse Practitioner
3010022
KY

Other

Enumeration date
07/16/2008
Last updated
06/23/2020
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