TOLLY B ALSUP PA

PADUCAH DERMATOLOGY PLLC

Dr TOLLY B ALSUP PA is a female medical professional, specializing in Physician Assistant. She graduated in 1999.

Contact

PADUCAH DERMATOLOGY PLLC

3101 PARISA DR
PADUCAH
KY
420034584

Tel: 2704448477

TOLLY B ALSUP PA Information

Npi 1598767055
Pac Id 2062307788
Professional Enrollment Id I20040220000035
Last Name ALSUP
First Name TOLLY
Middle Name B
Suffix
Gender F
Credential PA
Medical School Name OTHER
Graduation Year 1999
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PADUCAH DERMATOLOGY PLLC
Group Practice Pac Id 0840274981
Number Of Group Practice Members 6
Line 1 Street Address 3101 PARISA DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PADUCAH
State KY
Zip Code 420034584
Phone Number 2704448477
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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