Individual
MR. ROGER E ORDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 326-6116
(270) 326-6118
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 326-6116
(270) 326-6118
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA026
KY
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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