Individual
RONALD JOSEPH WURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1110
(270) 706-1058
Mailing address
PO BOX 2119, ELIZABETHTOWN, KY 42702-2119
(270) 737-1212
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37993
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000517800
ANTHEM BCBS
KY
01
—
2843083000
PASSPORT ADVANTAGE
KY
01
—
50014790
PASSPORT
KY
05
—
64063613
—
KY
Enumeration date
07/07/2006
Last updated
02/14/2008
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