Glasgow Pediatric Associates Psc

NPI #1700936754 in Glasgow, Kentucky

Provider Information

NPI Number: 1700936754
Entity Type: Organization
Organization Name: Glasgow Pediatric Associates Psc
Primary Specialty: Pediatrics
Enumeration Date: Jan 11, 2007
Last Updated: Oct 14, 2009

Practice Location

Address: 301 PROFESSIONAL PARK DR
City: Glasgow
State: Kentucky
ZIP Code: 42141-3487
Phone: (270) 651-9696

Authorized Official

Name: MELISSA B DENNISON, MD
Title: OWNER
Phone: (270) 651-9696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Pediatrics	208000000X	Primary

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