Organization
ASHLAND PLASTIC SURGERY INC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B ROGERS III MD (PRESIDENT)
(606) 324-7146
Entity
Organization
Contact information
Practice address
617 23RD ST, ASHLAND, KY 41101-2880
(606) 324-7146
(606) 324-5165
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-5044
(606) 408-5176
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050196
BCBS
KY
05
—
64295611
—
KY
01
—
CM2911
RR MEDICARE GROUP PIN
KY
Enumeration date
11/02/2007
Last updated
11/09/2010
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