Organization
STARKVILLE SURGICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND JOHN ORGLER SR. MD (PRESIDENT)
(662) 773-8574
Entity
Organization
Contact information
Practice address
547 E MAIN ST, LOUISVILLE, MS 39339-0358
(663) 773-8574
(662) 773-7934
Mailing address
PO BOX 358, LOUISVILLE, MS 39339-0358
(662) 773-8574
(662) 773-7934
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
08215
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119388
—
MS
05
—
09011566
—
MS
Enumeration date
10/06/2006
Last updated
08/22/2020
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