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110 Metker Trail, Stanford, KY 40484 | |
(606) 365-2187 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 110 Metker Trail, Stanford, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1114121159 | NPI | - | NPPES |
Provider Name | Eric S Gosser |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1518094002 PECOS PAC ID: 3173621687 Enrollment ID: I20070607000123 |
Provider Name | William Stafford |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972691541 PECOS PAC ID: 6709956485 Enrollment ID: I20081121000171 |
Provider Name | Susan Adams |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1215203088 PECOS PAC ID: 8022279173 Enrollment ID: I20120417000243 |
Mailing Address | Practice Location Address |
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217 S 3rd St, Danville, KY 40422-1823 Ph: (859) 239-1000 | 110 Metker Trail, Stanford, KY 40484 Ph: (606) 365-2187 |