Dr GLENN R PUERTOLLANO MD is a male medical professional, specializing in Internal Medicine. He graduated in 1998.
SOUTHEASTERN PHYSICIAN SERVICES PC
310 S LIMESTONE
LEXINGTON
KY
405083008
Tel: 8592267000
| Npi | 1679544381 |
| Pac Id | 1254300395 |
| Professional Enrollment Id | I20040927000527 |
| Last Name | PUERTOLLANO |
| First Name | GLENN |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | GENERAL SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL SURGERY |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Group Practice Pac Id | 0042307852 |
| Number Of Group Practice Members | 258 |
| Line 1 Street Address | 310 S LIMESTONE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LEXINGTON |
| State | KY |
| Zip Code | 405083008 |
| Phone Number | 8592267000 |
| Hospital Affiliation Ccn 1 | 180104 |
| Hospital Affiliation Lbn 1 | BAPTIST HEALTH PADUCAH |
| Hospital Affiliation Ccn 2 | 141323 |
| Hospital Affiliation Lbn 2 | MASSAC MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 180027 |
| Hospital Affiliation Lbn 3 | MURRAY-CALLOWAY COUNTY HOSPITAL |
| Hospital Affiliation Ccn 4 | 180116 |
| Hospital Affiliation Lbn 4 | JACKSON PURCHASE MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 181322 |
| Hospital Affiliation Lbn 5 | CALDWELL MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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