Organization Name: | ALLIED PHYSICIAN GROUP LLC |
NPI Number: | 1003295783 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DREW AUGENSTEIN (PRESIDENT) |
Mailing Address: | 2200 E Parrish Ave Building A Owensboro |
State: | KY US |
Postal Code: | 423031449 |
Phone Number: | 2709262273 |
Fax Number: | 2709265200 |
NPI Enumeration Date: | 05/27/2015 |
NPI Last Update Date: | 05/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 200303 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |