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Individual

DR. MICHAEL SCOTT MAYRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6211 E. WATERFORD BLVD., EVENSVILLE, IN 47715
(270) 830-9872
(270) 830-8332
Mailing address
736 MORNINGSIDE DR., HENDERSON, KY 42420
(270) 860-1982
(270) 830-8332

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
34437
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000069390
KY ANTHEM NUMBER
KY
05
64344377
KY
Enumeration date
05/23/2005
Last updated
08/24/2022
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