Doctor Name: | MRS. VLATKA SPLAJT PLYMALE |
NPI Number: | 1104113018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 0000002417 |
Business Practice Address: | 5979 Desert Storm Ave Fort Campbell, KY - 422235585 |
Business Phone Number: | 2704128698 |
Business Fax Number: | 2704128698 |
Mailing Address: | 5979 Desert Storm Ave, FORT CAMPBELL |
State: | KY |
Postal Code: | 422235585 |
Phone Number: | 2704128698 |
Fax Number: | 2704128698 |
NPI Enumeration Date: | 06/30/2011 |
NPI Last Update Date: | 10/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0000002417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |