Organization
MARK S. PACK, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S. PACK MD (OWNER)
(606) 833-9556
Entity
Organization
Contact information
Practice address
1101 SAINT CHRISTOPHER DR, SUITE 320, ASHLAND, KY 41101-7087
(606) 833-9556
Mailing address
1101 SAINT CHRISTOPHER DR, SUITE 320, ASHLAND, KY 41101-7087
(606) 833-9556
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28407
KY
Other
Enumeration date
05/29/2007
Last updated
04/02/2008
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