Organization
JACKSON PURCHASE PULMONARY MEDICINE PLLC
Active
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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