Individual
DR. MARK E STURGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
215 W 17TH ST, HOPKINSVILLE, KY 42240-1911
(270) 885-3414
(270) 885-7631
Mailing address
PO BOX 595, HOPKINSVILLE, KY 42241-0595
(270) 885-3414
(270) 885-7631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
02002431A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
02983
KY
2085R0202X
Diagnostic Radiology Physician
DR.0053540
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000513859
BLUE CROSS/BLUE SHIELD
KY
05
—
200377650A
—
IN
05
—
7100002420
—
KY
Enumeration date
07/24/2006
Last updated
09/16/2024
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