Grady J Stephens Psc

NPI #1225184344 in Pikeville, Kentucky

Provider Information

NPI Number: 1225184344
Entity Type: Organization
Organization Name: Grady J Stephens Psc
Primary Specialty: Surgery
Enumeration Date: Jan 25, 2007
Last Updated: Aug 27, 2007

Practice Location

Address: 255 CHURCH ST
Address 2: SUITE 201
City: Pikeville
State: Kentucky
ZIP Code: 41501-3476
Phone: (606) 218-6101

Authorized Official

Name: DR. GRADY JAMES STEPHENS, M.D.
Title: OWNER
Phone: (606) 218-6101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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