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Organization
GLASGOW SURGICAL ASSOCIATES PSC
Active
Organization
GLASGOW SURGICAL ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TODD MARION MD (OWNER)
(270) 651-9408
Entity
Organization
Contact information
Practice address
1216 B NORTH RACE STREET, GLASGOW, KY 42141
(270) 651-9408
(270) 651-6023
Mailing address
PO BOX 818, GLASGOW, KY 42142-0818
(270) 651-9408
(270) 651-6023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27369
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046145
BLUE CROSS & BLUE SHIELD
KY
05
—
64273691
—
KY
Enumeration date
01/11/2007
Last updated
03/10/2008
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