Organization
MARK CASSOL MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CASSOL MD (OPHTHALMOLOGIST)
(502) 759-2765
Entity
Organization
Contact information
Practice address
2600 W. BROADWAY, SUITE 105, LOUISVILLE, KY 40211
(502) 772-3625
Mailing address
PO BOX 8073, LOUISVILLE, KY 40257
(502) 759-2765
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39515
KY
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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