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Organization

MARK ORGEL, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK HENRY ORGEL M.D. (OWNER)
(502) 538-4800
Entity
Organization

Contact information

Practice address
532 NORTH BARDSTOWN ROAD, MT WASHINGTON, KY 40047
(502) 538-4800
(502) 538-3040
Mailing address
PO BOX 67, MT WASHINGTON, KY 40047-0067
(502) 538-4800
(502) 538-3040

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24091
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000306495
BCBS
KY
01
2443697000
PASSPORT ADVANTAGE
KY
05
64240914
KY
01
7522526
AETNA
KY
01
DB0908
RAILROAD MEDICARE
KY
Enumeration date
02/26/2007
Last updated
12/15/2008
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