Organization
ALEX F ARGOTTE, MD, PSC
Active
Other names
NEW LIFE SURGICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L EVANS (PROVIDER ENROLLMENT REP)
(270) 744-9600
Entity
Organization
Contact information
Practice address
1528 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 583-5860
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65939159
—
KY
Enumeration date
08/10/2006
Last updated
09/24/2008
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