# GLASGOW SURGICAL ASSOCIATES PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902956949
- **Authorized official:** MICHAEL TODD MARION MD (OWNER)
- **Authorized official phone:** (270) 651-9408

## Contact information

- **Practice address:** 1216 B NORTH RACE STREET, GLASGOW, KY 42141
- **Practice address phone:** (270) 651-9408
- **Practice address fax:** (270) 651-6023
- **Mailing address:** PO BOX 818, GLASGOW, KY 42142-0818
- **Mailing address phone:** (270) 651-9408
- **Mailing address fax:** (270) 651-6023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 27369 | KY | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 03/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000046145 | BLUE CROSS & BLUE SHIELD | KY |
| 05 | — | 64273691 | — | KY |