Organization
HEART, LUNG, AND VASCULAR SURGERY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C POWELL MD (PRESIDENT)
(937) 479-6999
Entity
Organization
Contact information
Practice address
2737 GREENBACK RD, UTICA, KY 42376-9742
(937) 479-6999
Mailing address
2737 GREENBACK RD, UTICA, KY 42376-9742
(937) 479-6999
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
29420
KY
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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