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RYAN C FRAZINE
2605 KENTUCKY AVE SUITE 402 PADUCAH KY 420033803
RYAN C FRAZINE is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1548339070. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 8426005240. The primary specialty is INTERNAL MEDICINE. The organization is ADVANCED INTERNAL MEDICINE PLLC. The address is 2605 KENTUCKY AVE, SUITE 402, PADUCAH, KY, 420033803. The zip code is 420033803.
|Nation Provider ID||1548339070|
|PAC ID by PECOS||8426005240|
|Professional Enrollment ID||I20050405000120|
|Name||RYAN C FRAZINE|
|Medical School Name||RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY|
|Primary Specialty||INTERNAL MEDICINE|
|All secondary specialties|
|Organization Name||ADVANCED INTERNAL MEDICINE PLLC|
|Group Practice PAC ID||9537392154|
|Number of Group Practice members||1|
|Address||2605 KENTUCKY AVE, SUITE 402, PADUCAH, KY, 420033803|
|Hospital affiliation LBN||BAPTIST HEALTHCARE SYSTEM INC.|