Bluegrass Clinic Stanford, Pllc

NPI #1265571020 in Stanford, Kentucky

Provider Information

NPI Number: 1265571020
Entity Type: Organization
Organization Name: Bluegrass Clinic Stanford, Pllc
Primary Specialty: Legal Medicine
Enumeration Date: Feb 6, 2007
Last Updated: Oct 4, 2023

Practice Location

Address: 107 METKER TRL
Address 2: SUITE A
City: Stanford
State: Kentucky
ZIP Code: 40484-1049
Phone: (606) 365-8338

Authorized Official

Name: DR. JAMES MILLER III, M.D.
Title: OWNER
Phone: (606) 365-8338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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