Individual
DR. SIDNEY DONALD TROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 344-1600
(859) 344-0091
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-1600
(859) 344-0091
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33770
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020054356
RAILROAD MEDICARE
—
05
—
2431836
—
OH
05
—
2469136
—
OH
05
—
64337702
—
KY
05
—
7100056850
—
KY
01
—
P00670399
RAIL ROAD MEDICARE
KY
Enumeration date
06/17/2005
Last updated
09/14/2018
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