ELMER CLARENCE MAGGARD

Dr ELMER CLARENCE MAGGARD is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1978.

Contact

2500 HOLT RD
PADUCAH
KY
420018661

Tel: 8594897384

ELMER CLARENCE MAGGARD Information

Npi 1528281565
Pac Id 5496995979
Professional Enrollment Id I20130703000614
Last Name MAGGARD
First Name ELMER
Middle Name CLARENCE
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1978
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2500 HOLT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PADUCAH
State KY
Zip Code 420018661
Phone Number 8594897384
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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