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Individual

DR. JOHN L HAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2200 E PARRISH AVE, BUILDING A, OWENSBORO, KY 42303-1449
(270) 926-2273
(270) 926-5200
Mailing address
PO BOX 1919, OWENSBORO, KY 42302-1919
(270) 926-2273
(270) 926-5200

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
23051
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000045763
ANTHEM BC/BS
KY
05
100007070
IN
01
110094553
RAILROAD MEDICARE
KY
05
64230519
KY
Enumeration date
06/30/2006
Last updated
06/05/2008
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