Organization
BUFFALO TRACE EAR, NOSE & THROAT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED M SASSLER DO (PRESIDENT)
(606) 759-5286
Entity
Organization
Contact information
Practice address
1925 OLD MAIN ST, SUITE 1, MAYSVILLE, KY 41056-8984
(606) 759-5286
(606) 759-5773
Mailing address
4980 AA HWY N, FOSTER, KY 41043-9271
(606) 747-5077
(606) 759-5773
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34006187S
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050862
ANTHEM ID NUMBER
KY
05
—
0986107
—
OH
05
—
64024201
—
KY
Enumeration date
10/16/2006
Last updated
08/22/2020
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